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Organization
ROOTS AND BLOOM THERAPY PLLC
Active
Organization
ROOTS AND BLOOM THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE KOWALSKI (OWNER)
(847) 340-7386
Entity
Organization
Contact information
Practice address
480 ELM PL, HIGHLAND PARK, IL 60035-2538
(847) 340-7386
Mailing address
83 HICKORY LN, LINCOLNSHIRE, IL 60069-3122
(847) 940-7102
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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