| Beyond Rooted Llc | |
|
166 Albany Tpke Canton CT 06019-2546 | |
| (475) 265-0696 | |
| Not Available |
| Full Name | Beyond Rooted Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 166 Albany Tpke, Canton, Connecticut |
| Authorized Official Name and Position | Leanne K Roberts (CO-OWNER) |
| Authorized Official Contact | 4752650696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Rooted Llc 166 Albany Tpke Canton CT 06019-2546 Ph: (475) 265-0696 | Beyond Rooted Llc 166 Albany Tpke Canton CT 06019-2546 Ph: (475) 265-0696 |
| NPI Number | 1396542965 |
|---|---|
| Provider Enumeration Date | 02/28/2025 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396542965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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