Acacia Roots Counseling LLC

NPI #1205595477 in Riverside, Illinois

Provider Information

NPI Number: 1205595477
Entity Type: Organization
Organization Name: Acacia Roots Counseling LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 14, 2021
Last Updated: Jan 12, 2023

Practice Location

Address: 84 E BURLINGTON ST UNIT 2
City: Riverside
State: Illinois
ZIP Code: 60546-2118
Phone: (708) 232-3550

Authorized Official

Name: ANNA CHRISTINA CORNEJO, LCSW
Title: SOCIAL WORKER
Phone: (708) 232-3550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Case Management	251B00000X
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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