Rustic Roots Counseling Center, LLC
NPI #1306512686 in Prairieville, Louisiana
Provider Information
- NPI Number
- 1306512686
- Entity Type
- Organization
- Organization Name
- Rustic Roots Counseling Center, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 18, 2021
- Last Updated
- Aug 18, 2021
Practice Location
- Address
- 17541 EAGLES PERCH DR
- City
- Prairieville
- State
- Louisiana
- ZIP Code
- 70769-6069
- Phone
- (337) 254-2629
Authorized Official
- Name
- SHEREVA S LEWIS, LPC
- Title
- OWNER
- Phone
- (337) 254-2629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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