Organization
ROOT AWAKENING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY MICHELLE ALLEN PMHNP (PMHNP)
(660) 621-9890
Entity
Organization
Contact information
Practice address
105 S WEBER AVE, SALISBURY, MO 65281-1071
(660) 621-9890
Mailing address
105 S WEBER AVE, SALISBURY, MO 65281-1071
(660) 621-9890
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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