Roots to Healing Counseling & Wellness LLC
Organization Active NPI Professional Counselor · North Lima, OH
NPI 1750169413 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1750169413
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- ROOTS TO HEALING COUNSELING & WELLNESS LLC
- Practice address
- 11369 Market St Ste B
North Lima, OH 44452-9782 - Phone
- (330) 429-1747
- NPI assigned
- Sep 14, 2023
- Organization subpart
- No
Authorized official
- Name
- Lorie J Taylor, LPCC
- Title
- Owner
- Phone
- (330) 429-1747
Practitioners 2
-
Christina M. Berry, LPCC
-
Lorie J Taylor, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240913001274 | OH | Part B Supplier - Clinic/Group Practice | 8729528922 |
Receives reassigned benefits from 2 practitioners Practice locations: North Lima, OH |
National Provider Directory
Locations
11369 Market St
Ste B
North Lima, OH 44452
Phone (330) 227-4123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
11369 Market St Ste B
North Lima, OH 44452-9782
Mailing address
PO Box 432
North Lima, OH 44452-0432
Phone (330) 429-1747
Other providers in North Lima, OH
- Elizabeth Rapp
- Jenifer Lynn Razo
- Brady Dwayne Reece
- Tawnya Dianne Reents
- Rolling Acres Care Center LLC
- Teri Lynn Ruiz
- Serenity Center of Youngstown
- Serenity Center of Youngstown, LLC
- Serenity Center of Youngstown, LLC
- Manuel Michael Spirtos
All providers in North Lima, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.