Organization
HEALING ROOTS MATERNAL ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMINE LINDA GONZALEZ RN (FOUNDER/DIRECTOR)
(682) 326-9662
Entity
Organization
Contact information
Practice address
4343 SHADY BEND DR, DALLAS, TX 75244-7448
(682) 326-9662
Mailing address
4343 SHADY BEND DR, DALLAS, TX 75244-7448
(682) 326-9662
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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