| Rooted Life Counseling Pllc | |
|
2501 Chatham Rd Ste 5038 Springfield IL 62704-4188 | |
| (815) 435-0932 | |
| Not Available |
| Full Name | Rooted Life Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2501 Chatham Rd Ste 5038, Springfield, Illinois |
| Authorized Official Name and Position | Chancie Levesque (CO-OWNER) |
| Authorized Official Contact | 8159812254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Life Counseling Pllc 2501 Chatham Rd Ste 5038 Springfield IL 62704-4188 Ph: (815) 435-0932 | Rooted Life Counseling Pllc 2501 Chatham Rd Ste 5038 Springfield IL 62704-4188 Ph: (815) 435-0932 |
| NPI Number | 1023852746 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023852746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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