| Rooted Mind & Body | |
|
245 E Ashley Ave Driggs ID 83422-5210 | |
| (541) 279-5602 | |
| Not Available |
| Full Name | Rooted Mind & Body |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 245 E Ashley Ave, Driggs, Idaho |
| Authorized Official Name and Position | Rachel Mackey (OWNER) |
| Authorized Official Contact | 5412795602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Mind & Body 245 E Ashley Ave Driggs ID 83422-5210 Ph: (541) 279-5602 | Rooted Mind & Body 245 E Ashley Ave Driggs ID 83422-5210 Ph: (541) 279-5602 |
| NPI Number | 1124863147 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124863147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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