| Wild Roots Counseling Services Pllc | |
|
911 S 9th St Ste 108 Bismarck ND 58504-5858 | |
| (970) 342-1023 | |
| Not Available |
| Full Name | Wild Roots Counseling Services Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 911 S 9th St Ste 108, Bismarck, North Dakota |
| Authorized Official Name and Position | Mandy Anne Herberholz (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 9703421023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Roots Counseling Services Pllc 3255 Burnaby Dr N Mandan ND 58554-8220 Ph: (970) 342-1023 | Wild Roots Counseling Services Pllc 911 S 9th St Ste 108 Bismarck ND 58504-5858 Ph: (970) 342-1023 |
| NPI Number | 1467227850 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467227850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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