Organization
ROOTED MIND & BODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL MACKEY (OWNER)
(541) 279-5602
Entity
Organization
Contact information
Practice address
245 E ASHLEY AVE, DRIGGS, ID 83422-5210
(541) 279-5602
Mailing address
245 E ASHLEY AVE, DRIGGS, ID 83422-5210
(541) 279-5602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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