Rooting Wild Movement LLC
NPI #1174351704 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1174351704
- Entity Type
- Organization
- Organization Name
- Rooting Wild Movement LLC
- Primary Specialty
- Counselor
- Enumeration Date
- Jul 24, 2024
- Last Updated
- Jul 24, 2024
Practice Location
- Address
- 4130 RIDGE AVE STE 5600
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19129-1534
- Phone
- (985) 257-6774
Authorized Official
- Name
- GRACE B HARMAN, LPC
- Title
- OWNER/THERAPIST
- Phone
- (985) 257-6774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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