Northern Roots Therapy Center | |
2960 Triverton Pike Dr Fitchburg WI 53711-5896 | |
(608) 234-1224 | |
Not Available |
Full Name | Northern Roots Therapy Center |
---|---|
Speciality | Counselor - Mental Health |
Location | 2960 Triverton Pike Dr, Fitchburg, Wisconsin |
Authorized Official Name and Position | Sarah Vinson (OWNER) |
Authorized Official Contact | 6084003818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northern Roots Therapy Center 2960 Triverton Pike Dr Fitchburg WI 53711-5896 Ph: (608) 234-1224 | Northern Roots Therapy Center 2960 Triverton Pike Dr Fitchburg WI 53711-5896 Ph: (608) 234-1224 |
NPI Number | 1598300972 |
---|---|
Provider Enumeration Date | 11/09/2019 |
Last Update Date | 04/07/2022 |
Certification Date | 04/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598300972 | NPI | - | NPPES |
100191303 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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