Organization
SL ROOTED IN LOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY LANDIS (CEO)
(317) 517-7286
Entity
Organization
Contact information
Practice address
4805 NORWALDO AVE, INDIANAPOLIS, IN 46205-2182
(317) 517-7286
Mailing address
4805 NORWALDO AVE, INDIANAPOLIS, IN 46205-2182
(317) 517-7286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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