| Roots and Reflections Counseling LLC | |
|
209 W Main St Floyd VA 24091-3190 | |
| (540) 529-8543 | |
| (540) 378-6044 |
| Full Name | Roots and Reflections Counseling LLC |
|---|---|
| Speciality | Counselor |
| Location | 209 W Main St, Floyd, Virginia |
| Authorized Official Name and Position | Maria Weaver (OFFICE MANAGER) |
| Authorized Official Contact | 5405298543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots and Reflections Counseling LLC Po Box 13 Floyd VA 24091-0013 Ph: (540) 529-8543 | Roots and Reflections Counseling LLC 209 W Main St Floyd VA 24091-3190 Ph: (540) 529-8543 |
| NPI Number | 1104621085 |
|---|---|
| Provider Enumeration Date | 02/15/2025 |
| Last Update Date | 07/28/2025 |
| Certification Date | 07/28/2025 |
| Medicare PECOS PAC ID | 2062912330 |
|---|---|
| Medicare Enrollment ID | O20250821002070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104621085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
| Provider Name | Amanda Buckner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467050294 PECOS PAC ID: 0345698627 Enrollment ID: I20231127002885 |
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