| Reviving The Roots Counseling, Llc | |
|
20 Airport Rd Ste 1300 Brownsburg IN 46112-2047 | |
| (317) 426-7251 | |
| Not Available |
| Full Name | Reviving The Roots Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 Airport Rd Ste 1300, Brownsburg, Indiana |
| Authorized Official Name and Position | Stacey Bostian-miller (OWNER/MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 3173858661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reviving The Roots Counseling, Llc 3119 Lakewood Dr Indianapolis IN 46234-9150 Ph: (317) 385-8661 | Reviving The Roots Counseling, Llc 20 Airport Rd Ste 1300 Brownsburg IN 46112-2047 Ph: (317) 426-7251 |
| NPI Number | 1497493571 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 06/11/2022 |
| Certification Date | 06/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497493571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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