Healing Roots PLLC
Counselor in Naperville, IL. Organization (NPI-2).
NPI number1124804471
StatusActive
Last updated in NPPESSep 4, 2023
Details
- NPI
- 1124804471
- Entity type
- Organization (NPI-2)
- Legal business name
- Healing Roots PLLC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2023
- Certification date
- Sep 2, 2023
- Last updated
- Sep 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1755 Park St Ste 200Naperville, IL 60563-8404
Phone 331-207-4045
Mailing address
7905 Knottingham Cir Apt BDarien, IL 60561-4969
Authorized official
Deborah Knight
Owner
3127990739
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