Rooted Wings LLC
NPI #1629868252 in Pacolet, South Carolina
Provider Information
- NPI Number
- 1629868252
- Entity Type
- Organization
- Organization Name
- Rooted Wings LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 7, 2025
- Last Updated
- May 8, 2025
Practice Location
- Address
- 131 CAMERON ST
- City
- Pacolet
- State
- South Carolina
- ZIP Code
- 29372-2838
- Phone
- (864) 398-9322
Authorized Official
- Name
- STACEY L JACKSON, LPC
- Title
- OWNER
- Phone
- (864) 398-9322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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