| Rooted Counseling, Consulting, And Yoga Llc | |
|
1106 W State St Albion NE 68620-1362 | |
| (402) 608-1040 | |
| Not Available |
| Full Name | Rooted Counseling, Consulting, And Yoga Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1106 W State St, Albion, Nebraska |
| Authorized Official Name and Position | Teal Hunt (OWNER) |
| Authorized Official Contact | 4026081040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Counseling, Consulting, And Yoga Llc 2104 Elm St Albion NE 68620-5096 Ph: () - | Rooted Counseling, Consulting, And Yoga Llc 1106 W State St Albion NE 68620-1362 Ph: (402) 608-1040 |
| NPI Number | 1568293447 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 5991236994 |
|---|---|
| Medicare Enrollment ID | O20241001003791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568293447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Teal I Hunt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710502752 PECOS PAC ID: 3678923752 Enrollment ID: I20240102002827 |
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