Organization
STRONG ROOTS THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY DAWN LEMERY LCSW, CATP, CDC II, (CEO)
(912) 674-0417
Entity
Organization
Contact information
Practice address
851 E WESTPOINT DR STE 210, WASILLA, AK 99654-7183
(907) 357-0486
Mailing address
PO BOX 1905, PALMER, AK 99645-1905
(912) 674-0417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1707635
—
AK
Enumeration date
07/28/2022
Last updated
07/06/2023
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