Resilient Roots Therapy LLC
Organization Active NPI Clinical Social Worker · Halifax, PA
NPI 1295576676 · NPPES record last updated Jun 1, 2024
Key facts
- NPI
- 1295576676
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- RESILIENT ROOTS THERAPY LLC
- Practice address
- 791 Enders Rd
Halifax, PA 17032-9721 - Phone
- (717) 599-2909
- NPI assigned
- Jun 1, 2024
- Organization subpart
- No
Authorized official
- Name
- Jessica Marie Simmons, LCSW
- Title
- Owner/Therapist
- Phone
- (814) 470-3718
Practitioners 1
-
Jessica Marie Simmons, LCSW
National Provider Directory
Locations
791 Enders Rd
Halifax, PA 17032
Phone (717) 599-2909
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
791 Enders Rd
Halifax, PA 17032-9721
Mailing address
16 Matamoras Rd
Halifax, PA 17032-9501
Phone (814) 470-3718
Other names
- Resilient Roots Therapy LLC
Other providers in Halifax, PA
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- Olga Stykova Platt
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- Rite Aid of Pennsylvania LLC
- Trent M Roadcap
- Corynne Rutz
- Tara Saksek
- Juliana Rose Shuty
All providers in Halifax, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2024. 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.