Organization
ROOTED COUNSELING SERVICES, LLC
Active
Other names
Rooted Counseling Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BREANN L CUMMINGS LPC (OWNER/COUNSELOR)
(814) 375-6805
Entity
Organization
Contact information
Practice address
90 BEAVER DR STE 210D, DU BOIS, PA 15801-2441
(814) 577-6518
Mailing address
90 BEAVER DR STE 210D, DU BOIS, PA 15801-2441
(814) 577-6518
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386127405
NPI (TYPE 1)
PA
Enumeration date
02/23/2021
Last updated
07/19/2021
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