NPI 1053479634
Fresh Roots, INC.
Practice location
- Address
- 318 W Poplar St, Rogers, AR 72756-4559
- Phone
- (479) 986-8655
- Fax
- (479) 633-9398
Authorised official
- Name
- Dell Christy Tyson
- Title
- Co-Director
- Phone
- (479) 986-8655
Registered specialties (2)
Marriage & Family Therapist
Primary
Professional Counselor
Registry record
- NPI
- 1053479634
- Entity type
- Organization
- NPI issued
- 5 Dec 2006
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.