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Organization

ROOTED BLOOM THERAPY AND COUNSELING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN PETERSEN LISW (OWNER)
(515) 758-9606
Entity
Organization

Contact information

Practice address
13137 UNIVERSITY AVE STE 140, CLIVE, IA 50325-8299
(515) 758-9606
(515) 855-2525
Mailing address
13137 UNIVERSITY AVE STE 140, CLIVE, IA 50325-8299
(515) 758-9606
(515) 855-2525

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/14/2025
Last updated
04/27/2025
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