Healing Roots Behavioral Health Center, LLC
Counselor, Mental Health in Waterville, ME. Organization (NPI-2).
NPI number1982160156
StatusActive
Last updated in NPPESFeb 13, 2019
Details
- NPI
- 1982160156
- Entity type
- Organization (NPI-2)
- Legal business name
- Healing Roots Behavioral Health Center, LLC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2019
- Last updated
- Feb 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
325c Kennedy Memorial Dr Ste 2Waterville, ME 04901-4517
Phone 207-649-2762
Mailing address
295 Abbott RdWinslow, ME 04901-0002
Phone 107-649-2762
Authorized official
Venessa Folsom
Owner, Clinician
2076492762
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