Organization
ROOTBOUND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATY L BRANDENBURG LMHC (CEO/OWNER)
(805) 705-9671
Entity
Organization
Contact information
Practice address
32 PEA PL, KULA, HI 96790-8302
(805) 705-9671
Mailing address
PO BOX 1094, MAKAWAO, HI 96768-1094
(805) 705-9671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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