Organization
RUSTIC ROOTS COUNSELING CENTER, LLC
Active
Other names
Rustic Roots Counseling Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHEREVA S LEWIS LPC (OWNER)
(337) 254-2629
Entity
Organization
Contact information
Practice address
17541 EAGLES PERCH DR, PRAIRIEVILLE, LA 70769-6069
(337) 254-2629
Mailing address
17541 EAGLES PERCH DR, PRAIRIEVILLE, LA 70769-6069
(337) 254-2629
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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