Organization
ROOTED WISDOM COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA BRADSHAW LCSW (OWNER/THERAPIST)
(812) 670-5202
Entity
Organization
Contact information
Practice address
3310 E 10TH ST # 166, JEFFERSONVILLE, IN 47130-7285
(812) 670-5202
Mailing address
3310 E 10TH ST # 166, JEFFERSONVILLE, IN 47130-7285
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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