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Contact Information

A ROOTED LIFE PSYCHOTHERAPY PLLC
1855 MAIN ST STE 208
FERNDALE, WA98248-9060
 Phone: 360-319-9930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for A ROOTED LIFE PSYCHOTHERAPY PLLC

NPI # 1588123640
LBN Legal business name A ROOTED LIFE PSYCHOTHERAPY PLLC
Authorized official JENNIFER BAYER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2019
Last updated 07/18/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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