| Deep Roots, Pllc | |
|
530 N Riverfront Dr Ste 220 Mankato MN 56001-3627 | |
| (715) 212-7158 | |
| Not Available |
| Full Name | Deep Roots, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 530 N Riverfront Dr Ste 220, Mankato, Minnesota |
| Authorized Official Name and Position | Laura C Schultz (OWNER/OPERATOR) |
| Authorized Official Contact | 7152127158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Roots, Pllc 908 N Broad St Mankato MN 56001-3329 Ph: () - | Deep Roots, Pllc 530 N Riverfront Dr Ste 220 Mankato MN 56001-3627 Ph: (715) 212-7158 |
| NPI Number | 1528850690 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528850690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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