| Root and Rise LLC | |
|
170 Candlewood Lake Rd Brookfield CT 06804-2118 | |
| (203) 300-4944 | |
| Not Available |
| Full Name | Root and Rise LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 170 Candlewood Lake Rd, Brookfield, Connecticut |
| Authorized Official Name and Position | Nicole Rotovnik (OWNER) |
| Authorized Official Contact | 2033004944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root and Rise LLC 170 Candlewood Lake Rd Brookfield CT 06804-2118 Ph: (203) 300-4944 | Root and Rise LLC 170 Candlewood Lake Rd Brookfield CT 06804-2118 Ph: (203) 300-4944 |
| NPI Number | 1962323329 |
|---|---|
| Provider Enumeration Date | 07/22/2026 |
| Last Update Date | 07/22/2026 |
| Certification Date | 07/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962323329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
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