Rooted Therapy And Wellness, Pllc | |
3546 E Greystone Dr Fayetteville AR 72764-6860 | |
(509) 434-6386 | |
Not Available |
Full Name | Rooted Therapy And Wellness, Pllc |
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Speciality | Social Worker - Clinical |
Location | 3546 E Greystone Dr, Fayetteville, Arkansas |
Authorized Official Name and Position | Michelle Wise Gendusa (OWNER/THERAPIST) |
Authorized Official Contact | 5094346386 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rooted Therapy And Wellness, Pllc 3546 E Greystone Dr Fayetteville AR 72764-6860 Ph: (509) 434-6386 | Rooted Therapy And Wellness, Pllc 3546 E Greystone Dr Fayetteville AR 72764-6860 Ph: (509) 434-6386 |
NPI Number | 1811719040 |
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Provider Enumeration Date | 10/29/2024 |
Last Update Date | 10/29/2024 |
Certification Date | 10/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811719040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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