| Grounded Roots Therapy | |
|
407 N Walsh St Carson City NV 89701-4268 | |
| (775) 298-6386 | |
| (775) 825-7244 |
| Full Name | Grounded Roots Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 407 N Walsh St, Carson City, Nevada |
| Authorized Official Name and Position | Victoria Smith (OWNER) |
| Authorized Official Contact | 7752986386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Roots Therapy 407 N Walsh St Carson City NV 89701-4268 Ph: (775) 298-6386 | Grounded Roots Therapy 407 N Walsh St Carson City NV 89701-4268 Ph: (775) 298-6386 |
| NPI Number | 1285301978 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285301978 | NPI | - | NPPES |
| 250008966 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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