Vital Roots Inc

LBN: Vital Roots Inc
Vital Roots Inc is an health care organization with primary practice located at 6929 Apple Ln Apt 2 , Carbondale IL 62902-0302. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Vital Roots Inc can be contacted via phone (833) 337-6687, or through Cavender, Lee via phone (615) 900-0984.

Contact Information

Primary practice address
6929 Apple Ln Apt 2 Carbondale IL 62902-0302
Phone: (833) 337-6687
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cavender, Lee Licensed Clinical Social Worker (LCSW)
Phone: (615) 900-0984

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1720663818
LBN Legal business name Vital Roots Inc
DBA Doing business as
Authorized official Cavender, Lee Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2021
Last updated Mar 10th, 2021 - about 3 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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