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Organization
INTEGRATED ROOTS SUPPORT SERVICES LLC
Active
Organization
INTEGRATED ROOTS SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL MORENO IZAGUIRRE LICSW, LIMHP, PLADC (OWNER)
(402) 309-9978
Entity
Organization
Contact information
Practice address
4535 NORMAL BLVD STE 235, LINCOLN, NE 68506-2891
(402) 413-9758
Mailing address
4535 NORMAL BLVD STE 235, LINCOLN, NE 68506-2891
(402) 440-3939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
04/07/2025
Last updated
08/01/2025
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