| Sacred Roots Wellness LLC | |
|
43 E South St Frederick MD 21701-5617 | |
| (240) 367-9587 | |
| Not Available |
| Full Name | Sacred Roots Wellness LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 43 E South St, Frederick, Maryland |
| Authorized Official Name and Position | Callie Rebecca Hildreth (CLINICIAN) |
| Authorized Official Contact | 2403679587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Roots Wellness LLC 43 E South St Frederick MD 21701-5617 Ph: (240) 367-9587 | Sacred Roots Wellness LLC 43 E South St Frederick MD 21701-5617 Ph: (240) 367-9587 |
| NPI Number | 1205724531 |
|---|---|
| Provider Enumeration Date | 06/25/2025 |
| Last Update Date | 11/05/2025 |
| Certification Date | 11/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205724531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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