| Root Impact Wellness Llc | |
|
1025 23rd St S Ste 381 Birmingham AL 35205-2499 | |
| (205) 787-1833 | |
| Not Available |
| Full Name | Root Impact Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1025 23rd St S Ste 381, Birmingham, Alabama |
| Authorized Official Name and Position | Verrick Yohaun Taylor (SENIOR OFFICER) |
| Authorized Official Contact | 2057871833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root Impact Wellness Llc 1025 23rd St S Ste 381 Birmingham AL 35205-2499 Ph: (205) 787-1833 | Root Impact Wellness Llc 1025 23rd St S Ste 381 Birmingham AL 35205-2499 Ph: (205) 787-1833 |
| NPI Number | 1508614124 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508614124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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