Organization · Type 2 NPI

Rooted Relational Therapy LLC

Marriage & Family Therapist · Mifflinburg, PA

NPI number 1073096780 Active

Practice location

400 Market St
Mifflinburg, PA 17844-1249

Call (570) 884-4662 Map

Mailing address

PO Box 54
Mifflinburg, PA 17844-0054

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Mental Health Counselor	101YM0800X	None listed
Marriage & Family Therapist Primary	106H00000X	None listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

2 other providers at this address

NPI record

NPI: 1073096780
Entity type: Organization (Type 2)
Issued: Sep 9, 2018
Last updated: Sep 18, 2018
Status: Active

Other names

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Rooted Relational Therapy · other name
Rooted Relational Therapy · other name

Authorized official

Doug Richard, MAMFT
Owner and Therapist
(570) 884-4662

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073096780

Rooted Relational Therapy LLC's National Provider Identifier is 1073096780, issued on Sep 9, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Mifflinburg, PA. The record was last updated on Sep 18, 2018.