Organization
INTEGRATED ROOTS SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL MORENO IZAGUIRRE LICSW, LIMHP, PLADC (OWNER)
(402) 309-9978
Entity
Organization
Contact information
Practice address
4535 NORMAL BLVD STE 235, LINCOLN, NE 68506-2891
(402) 413-9758
Mailing address
4535 NORMAL BLVD STE 235, LINCOLN, NE 68506-2891
(402) 440-3939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/07/2025
Last updated
08/01/2025
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