| Roots And Wings Counseling Studio, Pllc | |
|
1851 Silverstone Dr Forest Grove OR 97116-3227 | |
| (512) 766-5501 | |
| Not Available |
| Full Name | Roots And Wings Counseling Studio, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1851 Silverstone Dr, Forest Grove, Oregon |
| Authorized Official Name and Position | Lynsey Lomeli (LCSW) |
| Authorized Official Contact | 5032095731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots And Wings Counseling Studio, Pllc 1851 Silverstone Dr Forest Grove OR 97116-3227 Ph: (512) 766-5501 | Roots And Wings Counseling Studio, Pllc 1851 Silverstone Dr Forest Grove OR 97116-3227 Ph: (512) 766-5501 |
| NPI Number | 1467920942 |
|---|---|
| Provider Enumeration Date | 11/02/2018 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467920942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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