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Organization
ROOT WELLNESS STUDIO, LLC
Active
Organization
ROOT WELLNESS STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J LYNN LCPC, ATR-BC (CEO)
(303) 505-3216
Entity
Organization
Contact information
Practice address
5378 STERLING DR, STUDIO 3, BOULDER, CO 80301-2351
(303) 505-3216
Mailing address
5378 STERLING DR, STUDIO 3, BOULDER, CO 80301-2351
(303) 505-3216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.006965
IL
Other
Enumeration date
09/05/2013
Last updated
04/08/2016
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