Organization
AMPLE AND ROOTED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEATHERY THURMOND LCSW-S, CGP (OWNER)
(125) 759-0595
Entity
Organization
Contact information
Practice address
1700 S LAMAR BLVD STE 338, AUSTIN, TX 78704-3363
(512) 759-0595
Mailing address
1700 S LAMAR BLVD STE 338, AUSTIN, TX 78704-3363
(915) 549-6660
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
03/17/2021
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