| Rooted Vines Counseling Lcsw Pllc | |
|
57 Pershing Dr Scotia NY 12302-2917 | |
| (518) 810-1791 | |
| Not Available |
| Full Name | Rooted Vines Counseling Lcsw Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 57 Pershing Dr, Scotia, New York |
| Authorized Official Name and Position | Shannon Schallert (MEMBER-MANAGER) |
| Authorized Official Contact | 5188101791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Vines Counseling Lcsw Pllc 57 Pershing Dr Scotia NY 12302-2917 Ph: (518) 810-1791 | Rooted Vines Counseling Lcsw Pllc 57 Pershing Dr Scotia NY 12302-2917 Ph: (518) 810-1791 |
| NPI Number | 1114726981 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114726981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Samaritan Licensed Clinical Social Work, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 N Ballston Ave, Scotia, NY 12302 Phone: 518-374-3514 Fax: 518-374-9193 | |
Samaritan Licensed Clinical Social Work, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 220 North Ballston Avenue, Scotia, NY 12302 Phone: 518-374-3514 Fax: 518-374-9193 |