Southern Rose Psychotherapy, LLC

NPI #1962150615 in Paducah, Kentucky

Provider Information

NPI Number: 1962150615
Entity Type: Organization
Organization Name: Southern Rose Psychotherapy, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 11, 2022
Last Updated: Mar 11, 2022

Practice Location

Address: 555 JEFFERSON ST STE 301
City: Paducah
State: Kentucky
ZIP Code: 42001-1088
Phone: (971) 334-1940

Authorized Official

Name: MRS. MEGAN ROSE LARSON, MSW, LCSW
Title: THERAPIST
Phone: (971) 334-1940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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