Mindroots Counseling PLLC
Organization Active NPI Clinical Social Worker · Bennett, CO
NPI 1568080323 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1568080323
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- MINDROOTS COUNSELING PLLC
- Practice address
- 190 S 1St St
Bennett, CO 80102-7860 - Phone
- (303) 622-4547
- NPI assigned
- Jul 8, 2020
- Organization subpart
- No
Authorized official
- Name
- Pamella Zackeru, LCSW
- Title
- Clinical Social Worker
- Phone
- (908) 421-6680
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
190 S 1St St
Bennett, CO 80102-7860
Mailing address
4299 Flandin CT
Strasburg, CO 80136-8126
Phone (908) 421-6680
Other providers in Bennett, CO
- Katherine Lynn Larson
- Liberty Rides Inc.
- Life'S Hope Therapeutic Services PLLC
- Marla M Madrid
- Mile High Phlebotomy
- Ruhullah Muhtat
- Open and Affordable Dental Bennett PLLC
- Nicole Jean Prochazka
- Reflective Wellness Mind and Body
- Jennifer Rodriguez
All providers in Bennett, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. 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.