| Taking Root Counseling LLC | |
|
7121 W Bell Rd Ste 115 Glendale AZ 85308-8555 | |
| (602) 908-0805 | |
| Not Available |
| Full Name | Taking Root Counseling LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7121 W Bell Rd Ste 115, Glendale, Arizona |
| Authorized Official Name and Position | Jody Light Cecil (PRESIDENT) |
| Authorized Official Contact | 6029080805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taking Root Counseling LLC 7121 W Bell Rd Ste 115 Glendale AZ 85308-8555 Ph: (602) 908-0805 | Taking Root Counseling LLC 7121 W Bell Rd Ste 115 Glendale AZ 85308-8555 Ph: (602) 908-0805 |
| NPI Number | 1073136248 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 05/22/2020 |
| Certification Date | 05/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073136248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
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