| Rooted Bloom Therapy And Counseling Pllc | |
|
13137 University Ave Ste 140 Clive IA 50325-8299 | |
| (515) 758-9606 | |
| (515) 855-2525 |
| Full Name | Rooted Bloom Therapy And Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 13137 University Ave Ste 140, Clive, Iowa |
| Authorized Official Name and Position | Ellen Petersen (OWNER) |
| Authorized Official Contact | 5157589606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Bloom Therapy And Counseling Pllc 13137 University Ave Ste 140 Clive IA 50325-8299 Ph: (515) 758-9606 | Rooted Bloom Therapy And Counseling Pllc 13137 University Ave Ste 140 Clive IA 50325-8299 Ph: (515) 758-9606 |
| NPI Number | 1518752179 |
|---|---|
| Provider Enumeration Date | 04/14/2025 |
| Last Update Date | 04/27/2025 |
| Certification Date | 04/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518752179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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