Deeply Rooted Counseling & Wellness Center

LBN: Deeply Rooted Counseling & Wellness Center
Deeply Rooted Counseling & Wellness Center is an health care organization with primary practice located at 2600 Ventura St Ste 110 , Fresno CA 93721-3041. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Deeply Rooted Counseling & Wellness Center can be contacted via phone (310) 654-9835, or through Prince, Shadaria R via phone (310) 654-9835.

Contact Information

Primary practice address
2600 Ventura St Ste 110 Fresno CA 93721-3041
Phone: (310) 654-9835
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prince, Shadaria R Licensed Clinical Social Worker (LCSW)
Phone: (310) 654-9835

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1871277764
LBN Legal business name Deeply Rooted Counseling & Wellness Center
DBA Doing business as
Authorized official Prince, Shadaria R Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2023
Last updated Jul 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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