Organization
CREATIVE ROOTS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH GRENZEBACK (OWNER)
(617) 834-8204
Entity
Organization
Contact information
Practice address
24 POLVADERA PL, YOUNGSVILLE, NM 87064-0199
(617) 834-8204
Mailing address
PO BOX 817, ABIQUIU, NM 87510-0817
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us