Soulfully Rooted Wellness Pllc | |
2100 Alamo Rd Ste T Richardson TX 75080-2738 | |
(469) 333-1596 | |
Not Available |
Full Name | Soulfully Rooted Wellness Pllc |
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Speciality | Social Worker - Clinical |
Location | 2100 Alamo Rd Ste T, Richardson, Texas |
Authorized Official Name and Position | Courtney Butts (OWNER) |
Authorized Official Contact | 4693331596 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soulfully Rooted Wellness Pllc 2100 Alamo Rd Ste T Richardson TX 75080-2738 Ph: () - | Soulfully Rooted Wellness Pllc 2100 Alamo Rd Ste T Richardson TX 75080-2738 Ph: (469) 333-1596 |
NPI Number | 1013653187 |
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Provider Enumeration Date | 05/10/2022 |
Last Update Date | 05/10/2022 |
Certification Date | 05/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013653187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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