| Rooted Psychotherapy; Pllc | |
|
12441 S 900 E # 170 Draper UT 84020-9807 | |
| (801) 683-1160 | |
| Not Available |
| Full Name | Rooted Psychotherapy; Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12441 S 900 E # 170, Draper, Utah |
| Authorized Official Name and Position | Christina Dietz (OWNER) |
| Authorized Official Contact | 8016831160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Psychotherapy; Pllc 10246 S Samuel Holt Dr South Jordan UT 84095-8840 Ph: (801) 440-7177 | Rooted Psychotherapy; Pllc 12441 S 900 E # 170 Draper UT 84020-9807 Ph: (801) 683-1160 |
| NPI Number | 1700303716 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 08/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700303716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 8020295-6004 (Utah) | Primary |
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