| Healing Roots Centre, L.l.l.p | |
|
4533 Walnut Creek Dr Lexington KY 40509-4540 | |
| (859) 705-8967 | |
| Not Available |
| Full Name | Healing Roots Centre, L.l.l.p |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4533 Walnut Creek Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Kendra Mulder (GENERAL PARTNER) |
| Authorized Official Contact | 8597058967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Roots Centre, L.l.l.p 4533 Walnut Creek Dr Lexington KY 40509-4540 Ph: (859) 705-8967 | Healing Roots Centre, L.l.l.p 4533 Walnut Creek Dr Lexington KY 40509-4540 Ph: (859) 705-8967 |
| NPI Number | 1023754637 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023754637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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