| Strong Roots Therapeutic Services, Llc | |
|
851 E Westpoint Dr Ste 210 Wasilla AK 99654-7183 | |
| (907) 357-0486 | |
| Not Available |
| Full Name | Strong Roots Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 851 E Westpoint Dr Ste 210, Wasilla, Alaska |
| Authorized Official Name and Position | Tiffany Dawn Lemery (CEO) |
| Authorized Official Contact | 9126740417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strong Roots Therapeutic Services, Llc Po Box 1905 Palmer AK 99645-1905 Ph: (912) 674-0417 | Strong Roots Therapeutic Services, Llc 851 E Westpoint Dr Ste 210 Wasilla AK 99654-7183 Ph: (907) 357-0486 |
| NPI Number | 1215663554 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215663554 | NPI | - | NPPES |
| 1707635 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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