Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1790305506 |
| LBN Legal business name | HEALING ROOTS COUNSELING, LLC |
| Authorized official | PAUL SHEESLEY - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/22/2020 |
| Last updated | 04/22/2020 - About 6 years ago |
| Identifiers | n/a |
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