Organization · Type 2 NPI
Rustic Roots Counseling Center, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Prairieville, LA
NPI number
1306512686
Active
Practice location
17541 Eagles Perch Dr
Prairieville, LA 70769-6069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1306512686
Rustic Roots Counseling Center, LLC's National Provider Identifier is 1306512686, issued on Aug 18, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Prairieville, LA. The record was last updated on Aug 18, 2021.