Rootbound Therapy, LLC
Counselor, Mental Health in Kula, HI. Organization (NPI-2).
NPI number1609614643
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1609614643
- Entity type
- Organization (NPI-2)
- Legal business name
- Rootbound Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2024
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
32 Pea PlKula, HI 96790-8302
Phone 805-705-9671
Mailing address
Po Box 1094Makawao, HI 96768-1094
Phone 805-705-9671
Authorized official
Katy L Brandenburg
Ceo/Owner
8057059671
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