NPI 1467708750

Roots Counseling, PLLC

Organisation Preferred Provider Organization Layton, UT

Practice location

Address: 2317 N Hill Field Rd STE 103, Layton, UT 84041-4782
Phone: (801) 641-8569
Fax: (801) 799-7808
Mailing address: 1771 Beaumont Dr, Kaysville, UT 84037-9829

Authorised official

Name: Adam Brian Capel
Title: Therapist
Phone: (801) 641-8569

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2624423501 (UT)

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Registry record

NPI: 1467708750
Entity type: Organization
NPI issued: 24 Jul 2012
Record last updated: 24 Jul 2012

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.