| Roots Counseling And Consulting, Llc | |
|
W340n8809 Townline Rd Oconomowoc WI 53066-9700 | |
| (262) 442-8433 | |
| Not Available |
| Full Name | Roots Counseling And Consulting, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | W340n8809 Townline Rd, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | Samantha Sprung (OUTPATIENT THERAPIST) |
| Authorized Official Contact | 2624428433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Counseling And Consulting, Llc W340n8809 Townline Rd Oconomowoc WI 53066-9700 Ph: (262) 442-8433 | Roots Counseling And Consulting, Llc W340n8809 Townline Rd Oconomowoc WI 53066-9700 Ph: (262) 442-8433 |
| NPI Number | 1306415203 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306415203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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