| Roots Counseling Llc | |
|
2401 Beech St Ste A Valparaiso IN 46383-6107 | |
| (219) 765-2836 | |
| Not Available |
| Full Name | Roots Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2401 Beech St Ste A, Valparaiso, Indiana |
| Authorized Official Name and Position | Nicole Ann Lentz (CEO) |
| Authorized Official Contact | 2197652836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Counseling Llc 2401 Beech St Ste A Valparaiso IN 46383-6107 Ph: (219) 765-2836 | Roots Counseling Llc 2401 Beech St Ste A Valparaiso IN 46383-6107 Ph: (219) 765-2836 |
| NPI Number | 1447004049 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447004049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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