| Roth Therapeutic Services Pllc | |
|
545 N Lakeshore Dr Lake Junaluska NC 28745-9742 | |
| (419) 202-3350 | |
| Not Available |
| Full Name | Roth Therapeutic Services Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 545 N Lakeshore Dr, Lake Junaluska, North Carolina |
| Authorized Official Name and Position | Trevor Jude Roth (MEMBER) |
| Authorized Official Contact | 4192023350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roth Therapeutic Services Pllc Po Box 712 Lake Junaluska NC 28745-0712 Ph: (419) 202-3350 | Roth Therapeutic Services Pllc 545 N Lakeshore Dr Lake Junaluska NC 28745-9742 Ph: (419) 202-3350 |
| NPI Number | 1992580823 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992580823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |