Organization
ROOTS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR NETTLES (ADMINISTRATOR)
(414) 273-8484
Entity
Organization
Contact information
Practice address
4485 N OAKLAND AVE, SHOREWOOD, WI 53211-1611
(414) 273-8484
(414) 446-3317
Mailing address
4485 N OAKLAND AVE, SHOREWOOD, WI 53211-1611
(414) 273-8484
(414) 446-3317
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
01/22/2025
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