Organization
STRONG ROOTS THERAPEUTIC SERVICES, LLC
Active
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
2429 HIGHWAY 348, RUDY, AR 72952-9401
(912) 674-0417
Mailing address
PO BOX 6155, VAN BUREN, AR 72956-0121
(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
07/24/2026
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