Provider Demographics
NPI:1750253779
Name:CYPRESS ROOTS COUNSELING LLC
Entity type:Organization
Organization Name:CYPRESS ROOTS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASSER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:863-602-9604
Mailing Address - Street 1:202 CIRCLE PARK DR STE 2
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-3303
Mailing Address - Country:US
Mailing Address - Phone:863-334-3030
Mailing Address - Fax:
Practice Address - Street 1:202 CIRCLE PARK DR STE 2
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-3303
Practice Address - Country:US
Practice Address - Phone:863-334-3030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)