| The Roots Counseling Center | |
|
310 N Broadway St Truth Or Consequences NM 87901-2834 | |
| (575) 297-0171 | |
| (575) 288-2806 |
| Full Name | The Roots Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 310 N Broadway St, Truth Or Consequences, New Mexico |
| Authorized Official Name and Position | Sherilyn Marie Oberlin (OWNER) |
| Authorized Official Contact | 5752970171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Roots Counseling Center 310 N Broadway St Truth Or Consequences NM 87901-2834 Ph: (575) 297-0171 | The Roots Counseling Center 310 N Broadway St Truth Or Consequences NM 87901-2834 Ph: (575) 297-0171 |
| NPI Number | 1861849754 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 05/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861849754 | NPI | - | NPPES |
| 81985363 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0180421 (New Mexico) | Primary |
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