Organization
MOTHERING ROOTS THERAPY & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA BLOCK MSW, LICSW (LICENSED MENTAL HEALTH THERAPIST)
(612) 695-1799
Entity
Organization
Contact information
Practice address
1854 GRAND AVE STE 200, SAINT PAUL, MN 55105-1403
(651) 376-2319
Mailing address
1854 GRAND AVE STE 200, SAINT PAUL, MN 55105-1403
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
10/17/2022
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