Vital Roots Inc
Vital Roots Inc is a Mental Health Counselor in Carbondale, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6929 Apple Ln Apt 2Carbondale, IL 62902-0302
Phone: (833) 337-6687
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1720663818 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lee Cavender — Owner And Counselor · (615) 900-0984 |
| NPI enumerated | March 10, 2021 |
| Last updated in NPPES | March 10, 2021 |
| Certification date | March 10, 2021 |
| Mailing address | 6929 Apple Ln Apt 2, Carbondale, IL 62902-0302 |
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