| Rooted Heart Therapy Llc | |
|
2355 State St Ste 101 Salem OR 97301-4541 | |
| (619) 757-7394 | |
| Not Available |
| Full Name | Rooted Heart Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2355 State St Ste 101, Salem, Oregon |
| Authorized Official Name and Position | Rebekah Day Hancock-murphy (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 6197577394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Heart Therapy Llc 1631 Ne Broadway St # 2079 Portland OR 97232-1425 Ph: (619) 757-7394 | Rooted Heart Therapy Llc 2355 State St Ste 101 Salem OR 97301-4541 Ph: (619) 757-7394 |
| NPI Number | 1083457907 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083457907 | NPI | - | NPPES |
| 500809181 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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