Organization
FAMILY ROOTZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE JOHNSON (PARTNER)
(574) 297-1193
Entity
Organization
Contact information
Practice address
11242 N 1175 W, MONTICELLO, IN 47960-8103
(574) 297-1193
Mailing address
PO BOX 41, MONTICELLO, IN 47960-0041
(574) 297-1193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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