Deep Roots Wellness, LLC

NPI #1942799515 in Defiance, Ohio

Provider Information

NPI Number: 1942799515
Entity Type: Organization
Organization Name: Deep Roots Wellness, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 8, 2018
Last Updated: Oct 12, 2020

Practice Location

Address: 8081 ADAMS RIDGE RD
City: Defiance
State: Ohio
ZIP Code: 43512-9173
Phone: (419) 239-2113

Authorized Official

Name: MATTHEW HOLLO, LPCC-S
Title: OWNER
Phone: (419) 239-2113

Specialties & Taxonomy Codes

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

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