Rooted Wellness LLC
NPI #1619552411 in Mattapan, Massachusetts
Provider Information
- NPI Number
- 1619552411
- Entity Type
- Organization
- Organization Name
- Rooted Wellness LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Mar 12, 2021
- Last Updated
- Mar 12, 2021
Practice Location
- Address
- 228 ALMONT ST
- City
- Mattapan
- State
- Massachusetts
- ZIP Code
- 02126-1487
- Phone
- (857) 204-7067
Authorized Official
- Name
- MS. COURTNEY VILLON-MAGA, LICSW
- Title
- CLINICAL SUPERVISOR
- Phone
- (857) 204-7067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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