| NPI | 1750278859 |
|---|---|
| Other Name | ROOTS AND BLOOM LV PSYCHIATRY PLLC |
| Entity Type | Organization |
| Authorized Contact | JACLYN PRELL CEO 702-375-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |