Wildly Rooted Counseling LLC
Organization Active NPI Professional Counselor · Elkton, VA
NPI 1104575430 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1104575430
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- WILDLY ROOTED COUNSELING LLC
- Practice address
- 304 W Spotswood Trail
Suite D
Elkton, VA 22827 - Phone
- (540) 578-3691
- Fax
- (540) 578-3691
- NPI assigned
- Mar 23, 2022
- Organization subpart
- No
Authorized official
- Name
- Kate A Bowman, MA, LPC
- Title
- Owner
- Phone
- (540) 578-3691
Practitioners 1
National Provider Directory
Locations
304 W Spotswood Trl
Ste D
Elkton, VA 22827
Phone (540) 426-3392
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
304 W Spotswood Trail
Suite D
Elkton, VA 22827
Mailing address
304 W Spotswood Trail
Suite D
Elkton, VA 22827
Phone (540) 578-3691
Other names
- Wildly Rooted Counseling LLC
Other providers in Elkton, VA
All providers in Elkton, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.