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 |