Organization
THE ROOT OF THE MATTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA OGIDAN LCSW (CLINICAL DIRECTOR)
(972) 365-0346
Entity
Organization
Contact information
Practice address
1106 SANTA FE TRL STE 4, DUNCANVILLE, TX 75137-3063
(682) 730-2816
Mailing address
1310 PECAN LN, DUNCANVILLE, TX 75137-3270
(682) 730-2816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
01/15/2024
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