| Roots And Bloom Therapy Pllc | |
|
480 Elm Pl Highland Park IL 60035-2538 | |
| (847) 340-7386 | |
| Not Available |
| Full Name | Roots And Bloom Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 480 Elm Pl, Highland Park, Illinois |
| Authorized Official Name and Position | Michelle Kowalski (OWNER) |
| Authorized Official Contact | 8473407386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots And Bloom Therapy Pllc 83 Hickory Ln Lincolnshire IL 60069-3122 Ph: (847) 940-7102 | Roots And Bloom Therapy Pllc 480 Elm Pl Highland Park IL 60035-2538 Ph: (847) 340-7386 |
| NPI Number | 1225715360 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225715360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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