| Roots Renewal Counseling | |
|
11042 Manchester Rd Kirkwood MO 63122-1244 | |
| (402) 280-2735 | |
| Not Available |
| Full Name | Roots Renewal Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11042 Manchester Rd, Kirkwood, Missouri |
| Authorized Official Name and Position | Stephanie Stockham-ronollo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4022802735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Renewal Counseling 11042 Manchester Rd Kirkwood MO 63122-1244 Ph: () - | Roots Renewal Counseling 11042 Manchester Rd Kirkwood MO 63122-1244 Ph: (402) 280-2735 |
| NPI Number | 1811492077 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811492077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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