| Grounded Roots Psychotherapy Services Pllc | |
|
4030 Wake Forest Rd Ste 349 Raleigh NC 27609-0010 | |
| (704) 593-6773 | |
| Not Available |
| Full Name | Grounded Roots Psychotherapy Services Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4030 Wake Forest Rd Ste 349, Raleigh, North Carolina |
| Authorized Official Name and Position | Zaire King (OWNER) |
| Authorized Official Contact | 5103162297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Roots Psychotherapy Services Pllc 4030 Wake Forest Rd Ste 349 Raleigh NC 27609-0010 Ph: (704) 593-6773 | Grounded Roots Psychotherapy Services Pllc 4030 Wake Forest Rd Ste 349 Raleigh NC 27609-0010 Ph: (704) 593-6773 |
| NPI Number | 1538969829 |
|---|---|
| Provider Enumeration Date | 03/15/2025 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538969829 | NPI | - | NPPES |
| 1376009209 | Other | NC | PERSONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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