| Soulfully Rooted Wellness Pllc | |
|
2100 Alamo Rd Ste T Richardson TX 75080-2738 | |
| (469) 333-1596 | |
| Not Available |
| Full Name | Soulfully Rooted Wellness Pllc |
|---|---|
| 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 |
|---|---|
| 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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