| Rootbound Therapy, Llc | |
|
32 Pea Pl Kula HI 96790-8302 | |
| (805) 705-9671 | |
| Not Available |
| Full Name | Rootbound Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 32 Pea Pl, Kula, Hawaii |
| Authorized Official Name and Position | Katy L Brandenburg (CEO/OWNER) |
| Authorized Official Contact | 8057059671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rootbound Therapy, Llc Po Box 1094 Makawao HI 96768-1094 Ph: (805) 705-9671 | Rootbound Therapy, Llc 32 Pea Pl Kula HI 96790-8302 Ph: (805) 705-9671 |
| NPI Number | 1609614643 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609614643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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