Organization · Type 2 NPI

Rooting Wild Movement LLC

Counselor · Philadelphia, PA

NPI number 1174351704 Active

Practice location

4130 Ridge Ave Ste 5600
Philadelphia, PA 19129-1534

Call (985) 257-6774 Map

Mailing address

PO Box 5600
Philadelphia, PA 19129-0600

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1174351704

Rooting Wild Movement LLC's National Provider Identifier is 1174351704, issued on Jul 24, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 24, 2024.