Organization
IRON ROOTS RECOVERY & MENTAL WELLNESS, LLC
Active
Other names
Iron Roots Recovery & Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE MAYBERRY LMSW (OWNER)
(208) 659-2049
Entity
Organization
Contact information
Practice address
2025 W PARK PL STE 105, COEUR D ALENE, ID 83814-2787
(208) 659-2049
(208) 719-7952
Mailing address
2025 W PARK PL STE 105, COEUR D ALENE, ID 83814-2787
(208) 659-2049
(208) 719-7952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/18/2025
Last updated
05/13/2025
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