Abundant Roots Therapy Llc | |
2224 Twenty Grand Ave Owensboro KY 42301-4935 | |
(720) 428-1988 | |
Not Available |
Full Name | Abundant Roots Therapy Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 2224 Twenty Grand Ave, Owensboro, Kentucky |
Authorized Official Name and Position | Mary C Hansen (THERAPIST) |
Authorized Official Contact | 7204281988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Abundant Roots Therapy Llc 2224 Twenty Grand Ave Owensboro KY 42301-4935 Ph: (720) 428-1988 | Abundant Roots Therapy Llc 2224 Twenty Grand Ave Owensboro KY 42301-4935 Ph: (720) 428-1988 |
NPI Number | 1114779220 |
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Provider Enumeration Date | 04/02/2024 |
Last Update Date | 04/02/2024 |
Certification Date | 04/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114779220 | NPI | - | NPPES |
1588228837 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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