| Unrooted Counseling Llc | |
|
211 N 1st St Ste 335 Minneapolis MN 55401-2800 | |
| (971) 220-2127 | |
| (844) 605-1865 |
| Full Name | Unrooted Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 211 N 1st St Ste 335, Minneapolis, Minnesota |
| Authorized Official Name and Position | Kendra Spielman (OWNER) |
| Authorized Official Contact | 9712202127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unrooted Counseling Llc 211 N 1st St Ste 335 Minneapolis MN 55401-2800 Ph: (971) 220-2127 | Unrooted Counseling Llc 211 N 1st St Ste 335 Minneapolis MN 55401-2800 Ph: (971) 220-2127 |
| NPI Number | 1700604931 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/22/2024 |
| Medicare PECOS PAC ID | 8426584657 |
|---|---|
| Medicare Enrollment ID | O20241211000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700604931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kendra Spielman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477083228 PECOS PAC ID: 4284983586 Enrollment ID: I20180820003221 |
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