Organization
WELL ROOTED LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN POWELL LCSW (CEO)
(602) 833-2019
Entity
Organization
Contact information
Practice address
6424 E GREENWAY PKWY STE 145, SCOTTSDALE, AZ 85254-2045
(602) 833-2019
Mailing address
6424 E GREENWAY PKWY STE 145, SCOTTSDALE, AZ 85254-2045
(602) 833-2019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
10/09/2018
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