Organization
ROOTED WINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L JACKSON LPC (OWNER)
(864) 398-9322
Entity
Organization
Contact information
Practice address
131 CAMERON ST, PACOLET, SC 29372-2838
(864) 398-9322
(888) 707-1002
Mailing address
131 CAMERON ST, PACOLET, SC 29372-2838
(864) 398-9322
(888) 707-1002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/08/2025
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