| Enriched Roots | |
|
6510 Polaris Dr Ste 2 Laredo TX 78041-2054 | |
| (956) 962-4198 | |
| Not Available |
| Full Name | Enriched Roots |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6510 Polaris Dr Ste 2, Laredo, Texas |
| Authorized Official Name and Position | Daniela Gonzalez (OWNER/EMPLOYEE) |
| Authorized Official Contact | 9569624198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enriched Roots 6510 Polaris Dr Ste 2 Laredo TX 78041-2054 Ph: (956) 962-4198 | Enriched Roots 6510 Polaris Dr Ste 2 Laredo TX 78041-2054 Ph: (956) 962-4198 |
| NPI Number | 1225613003 |
|---|---|
| Provider Enumeration Date | 03/13/2021 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225613003 | NPI | - | NPPES |
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