| Root To Vine Psychotherapy | |
|
644 Manor Rd Beverly NJ 08010-1057 | |
| (215) 391-6325 | |
| Not Available |
| Full Name | Root To Vine Psychotherapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 644 Manor Rd, Beverly, New Jersey |
| Authorized Official Name and Position | Jennifer Diaz (OWNER) |
| Authorized Official Contact | 2153916325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root To Vine Psychotherapy 644 Manor Rd Beverly NJ 08010-1057 Ph: () - | Root To Vine Psychotherapy 644 Manor Rd Beverly NJ 08010-1057 Ph: (215) 391-6325 |
| NPI Number | 1699507210 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699507210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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Faith Christian Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Cooper St, Beverly, NJ 08010 Phone: 609-880-3025 Fax: 888-397-1415 |