Strong Roots Therapeutic Services, Llc

LBN: Strong Roots Therapeutic Services, Llc
Strong Roots Therapeutic Services, Llc is an health care organization with primary practice located at 851 E Westpoint Dr Ste 210 , Wasilla AK 99654-7183. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Strong Roots Therapeutic Services, Llc can be contacted via phone (907) 357-0486, or through Lemery, Tiffany Dawn via phone (912) 674-0417.

Contact Information

Primary practice address
851 E Westpoint Dr Ste 210 Wasilla AK 99654-7183
Phone: (907) 357-0486
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lemery, Tiffany Dawn LCSW, CATP, CDC II,
Phone: (912) 674-0417

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1215663554
LBN Legal business name Strong Roots Therapeutic Services, Llc
DBA Doing business as
Authorized official Lemery, Tiffany Dawn LCSW, CATP, CDC II,
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2022
Last updated Jul 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215663554 NPPES
Alaska MEDICAID 1707635

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