| NPI | 1508577107 |
|---|---|
| Doing Business As | ROOTS TO BRANCHES PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DIONNE MAHAFFEY-MUHAMMAD CEO 404-723-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2024-04-17 |