Northern Roots Therapy Center

LBN: Northern Roots Therapy Center
Northern Roots Therapy Center is an health care organization with primary practice located at 2960 Triverton Pike Dr , Fitchburg WI 53711-5896. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Northern Roots Therapy Center can be contacted via phone (608) 234-1224, or through Vinson, Sarah via phone (608) 400-3818.

Contact Information

Primary practice address
2960 Triverton Pike Dr Fitchburg WI 53711-5896
Phone: (608) 234-1224
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vinson, Sarah LCSW, SAL, CFRC
Phone: (608) 400-3818

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1598300972
LBN Legal business name Northern Roots Therapy Center
DBA Doing business as
Authorized official Vinson, Sarah LCSW, SAL, CFRC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2019
Last updated Apr 7th, 2022 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1598300972 NPPES
Wisconsin MEDICAID 100191303

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