| Restoring Roots Counseling, Llc | |
|
204 E Kathy Ln Freeport FL 32439-6614 | |
| (540) 742-0807 | |
| Not Available |
| Full Name | Restoring Roots Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 204 E Kathy Ln, Freeport, Florida |
| Authorized Official Name and Position | Mariah Boyer (CEO, OWNER) |
| Authorized Official Contact | 5407420807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Roots Counseling, Llc 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: () - | Restoring Roots Counseling, Llc 204 E Kathy Ln Freeport FL 32439-6614 Ph: (540) 742-0807 |
| NPI Number | 1285433631 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/10/2025 |
| Certification Date | 03/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285433631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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