| Rooted Counseling Services, Llc | |
|
90 Beaver Dr Ste 210d Du Bois PA 15801-2441 | |
| (814) 577-6518 | |
| Not Available |
| Full Name | Rooted Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 90 Beaver Dr Ste 210d, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Breann L Cummings (OWNER/COUNSELOR) |
| Authorized Official Contact | 8143756805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Counseling Services, Llc 90 Beaver Dr Ste 210d Du Bois PA 15801-2441 Ph: (814) 577-6518 | Rooted Counseling Services, Llc 90 Beaver Dr Ste 210d Du Bois PA 15801-2441 Ph: (814) 577-6518 |
| NPI Number | 1689268351 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689268351 | NPI | - | NPPES |
| 1386127405 | Other | PA | NPI (TYPE 1) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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