Organization
DEEP ROOTS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY DYAL LISW-CP (THERAPIST/OWNER)
(864) 684-6308
Entity
Organization
Contact information
Practice address
1360 MOUNT BETHEL RD, WARE SHOALS, SC 29692-2949
(864) 684-6308
Mailing address
1360 MOUNT BETHEL RD, WARE SHOALS, SC 29692-2949
(864) 684-6308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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