| Rooted Well Therapy | |
|
321 E Main St Ste 207 Bozeman MT 59715-4731 | |
| (406) 209-4928 | |
| Not Available |
| Full Name | Rooted Well Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 321 E Main St Ste 207, Bozeman, Montana |
| Authorized Official Name and Position | Mackenzie Fulleton (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4062094928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Well Therapy 10542 Po Box Bozeman MT 59719 Ph: (406) 209-4928 | Rooted Well Therapy 321 E Main St Ste 207 Bozeman MT 59715-4731 Ph: (406) 209-4928 |
| NPI Number | 1699530097 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699530097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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