| Roots Counseling, Coaching, And Consultation Llc | |
|
422 West Canal Street Picayune MS 39466 | |
| (769) 926-1137 | |
| Not Available |
| Full Name | Roots Counseling, Coaching, And Consultation Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 422 West Canal Street, Picayune, Mississippi |
| Authorized Official Name and Position | Nakia Stickler (CEO) |
| Authorized Official Contact | 6019132548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Counseling, Coaching, And Consultation Llc 422 West Canal Street Picayune MS 39466 Ph: (769) 926-1137 | Roots Counseling, Coaching, And Consultation Llc 422 West Canal Street Picayune MS 39466 Ph: (769) 926-1137 |
| NPI Number | 1215794771 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215794771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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