Organization
ROOTED COUNSELING AND CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE S. DAVIDSON LPC 6503 (MANAGER)
(225) 888-1752
Entity
Organization
Contact information
Practice address
5635 MAIN ST STE A272, ZACHARY, LA 70791-4083
(225) 407-3611
Mailing address
2703 MARCH ST, ZACHARY, LA 70791-2830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/12/2020
Last updated
07/20/2023
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