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Organization
ROOT INTEGRATIVE HEALTH
Active
Organization
ROOT INTEGRATIVE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDA PERTILLA LPC (COUNSELOR)
(470) 709-0679
Entity
Organization
Contact information
Practice address
8735 DUNWOODY PL # 8114, ATLANTA, GA 30350-2995
(470) 709-0679
Mailing address
480 JOINTER AVE, SCOTTDALE, GA 30079-1516
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801203997
NPPES
—
Enumeration date
11/28/2023
Last updated
04/29/2024
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