| Rooted Therapeutic Wellness, Llc | |
|
182 Flaghole Rd Andover NH 03216-4125 | |
| (603) 455-5871 | |
| Not Available |
| Full Name | Rooted Therapeutic Wellness, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 182 Flaghole Rd, Andover, New Hampshire |
| Authorized Official Name and Position | Kristen Grant (THERAPIST) |
| Authorized Official Contact | 6034555871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Therapeutic Wellness, Llc 182 Flaghole Rd Andover NH 03216-4125 Ph: (603) 455-5871 | Rooted Therapeutic Wellness, Llc 182 Flaghole Rd Andover NH 03216-4125 Ph: (603) 455-5871 |
| NPI Number | 1336960905 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336960905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |