| Healing Roots Counseling, Llc | |
|
220 S Pine St Ste 102 Sisters OR 97759-1670 | |
| (541) 904-0083 | |
| (541) 508-4526 |
| Full Name | Healing Roots Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 220 S Pine St Ste 102, Sisters, Oregon |
| Authorized Official Name and Position | Angela K Pyke (COUNSELOR) |
| Authorized Official Contact | 5419040083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Roots Counseling, Llc 220 S Pine St Ste 102 Sisters OR 97759-1670 Ph: (541) 904-0083 | Healing Roots Counseling, Llc 220 S Pine St Ste 102 Sisters OR 97759-1670 Ph: (541) 904-0083 |
| NPI Number | 1861050072 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861050072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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