ROOTS RENEWAL COUNSELING INC NPI 1336803451

NPI Information

NPI: 1336803451
Provider Name: ROOTS RENEWAL COUNSELING, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
61396 S HWY 97 STE 230
BEND, OR
ZIP 97702
Phone: (314) 200-5594
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ROOTS RENEWAL COUNSELING, INC is a mental health counselor in Bend, OR. ROOTS RENEWAL COUNSELING, INC NPI is 1336803451. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

61396 S HWY 97 STE 230
BEND, OR
ZIP 97702-558
Phone: (314) 200-5594

The provider's authorized official is Stephanie Stockham-ronollo .
The authorized official title is Director and has the following contact phone number (314) 200-5594.

The enumeration date for this NPI number is 10/25/2021 and was last updated on 1/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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