Provider Demographics
NPI:1427832690
Name:THE ROSES LLC
Entity type:Organization
Organization Name:THE ROSES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEADERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:218-639-5510
Mailing Address - Street 1:521 16TH AVE W
Mailing Address - Street 2:
Mailing Address - City:EVELETH
Mailing Address - State:MN
Mailing Address - Zip Code:55734-1171
Mailing Address - Country:US
Mailing Address - Phone:218-639-5510
Mailing Address - Fax:
Practice Address - Street 1:330 3RD ST S
Practice Address - Street 2:
Practice Address - City:VIRGINIA
Practice Address - State:MN
Practice Address - Zip Code:55792-2632
Practice Address - Country:US
Practice Address - Phone:218-639-5510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty