| Hidden Roots Mental Health Llc | |
|
205 E Broadway Ste 200 Hopewell VA 23860-2809 | |
| (804) 629-2673 | |
| Not Available |
| Full Name | Hidden Roots Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 205 E Broadway Ste 200, Hopewell, Virginia |
| Authorized Official Name and Position | Jasmary Tineo (QWNER) |
| Authorized Official Contact | 8046292673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hidden Roots Mental Health Llc 205 E Broadway Ste 200 Hopewell VA 23860-2809 Ph: (804) 629-2673 | Hidden Roots Mental Health Llc 205 E Broadway Ste 200 Hopewell VA 23860-2809 Ph: (804) 629-2673 |
| NPI Number | 1679040976 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 10/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679040976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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