| Rooted Rebellion Counseling, Pllc | |
|
752 N Main St Unit 145 Mansfield TX 76063-3241 | |
| (682) 702-8938 | |
| Not Available |
| Full Name | Rooted Rebellion Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 752 N Main St Unit 145, Mansfield, Texas |
| Authorized Official Name and Position | Lindsey Jean Stanley (OWNER) |
| Authorized Official Contact | 6827028938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Rebellion Counseling, Pllc 752 N Main St Unit 145 Mansfield TX 76063-3241 Ph: (682) 702-8938 | Rooted Rebellion Counseling, Pllc 752 N Main St Unit 145 Mansfield TX 76063-3241 Ph: (682) 702-8938 |
| NPI Number | 1942035993 |
|---|---|
| Provider Enumeration Date | 09/06/2024 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942035993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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