| Wild Roots Wellness, Pllc | |
|
4500 N 32nd St Ste 201d Phoenix AZ 85018-3397 | |
| (480) 297-0616 | |
| Not Available |
| Full Name | Wild Roots Wellness, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4500 N 32nd St Ste 201d, Phoenix, Arizona |
| Authorized Official Name and Position | Monica Torres (OWNER) |
| Authorized Official Contact | 4802970616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Roots Wellness, Pllc 4500 N 32nd St Ste 201d Phoenix AZ 85018-3397 Ph: (480) 297-0616 | Wild Roots Wellness, Pllc 4500 N 32nd St Ste 201d Phoenix AZ 85018-3397 Ph: (480) 297-0616 |
| NPI Number | 1114595600 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 06/11/2021 |
| Certification Date | 06/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114595600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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