Organization
ROOTS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE ANN LENTZ MS, LMFT (CEO)
(219) 765-2836
Entity
Organization
Contact information
Practice address
2401 BEECH ST STE A, VALPARAISO, IN 46383-6107
(219) 765-2836
Mailing address
2401 BEECH ST STE A, VALPARAISO, IN 46383-6107
(219) 765-2836
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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