Organization
ROOTS TO WINGS FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHERINE DEMICK LCSW (OWNER)
(941) 363-1733
Entity
Organization
Contact information
Practice address
7874 EAGLE CREEK DR, SARASOTA, FL 34243-4658
(941) 363-1733
Mailing address
7874 EAGLE CREEK DR, SARASOTA, FL 34243-4658
(941) 363-1733
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/13/2017
Last updated
07/21/2022
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