Rooted Rebellion Counseling, Pllc

NPI #1942035993 in Mansfield, Texas

Provider Information

NPI Number: 1942035993
Entity Type: Organization
Organization Name: Rooted Rebellion Counseling, Pllc
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 6, 2024
Last Updated: Sep 6, 2024

Practice Location

Address: 752 N MAIN ST UNIT 145
City: Mansfield
State: Texas
ZIP Code: 76063-3241
Phone: (682) 702-8938

Authorized Official

Name: MRS. LINDSEY JEAN STANLEY, LCSW
Title: OWNER
Phone: (682) 702-8938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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