| NPI | 1740708742 |
|---|---|
| Doing Business As | ROOTS COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY G ECKERT Co Owner, Psychologist 423-240-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 2515) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 2500) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |