| Roots Of Discovery Llc | |
|
260 Paseo Reyes Dr St Augustine FL 32095-8462 | |
| (904) 670-0709 | |
| Not Available |
| Full Name | Roots Of Discovery Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 260 Paseo Reyes Dr, St Augustine, Florida |
| Authorized Official Name and Position | Heather Brinker (OWNER) |
| Authorized Official Contact | 9047102092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Of Discovery Llc 211 Tarpon Bay Ct Ponte Vedra Beach FL 32081-1501 Ph: (904) 710-2092 | Roots Of Discovery Llc 260 Paseo Reyes Dr St Augustine FL 32095-8462 Ph: (904) 670-0709 |
| NPI Number | 1811704760 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811704760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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