Grounded Roots Therapy

LBN: Grounded Roots Therapy
Grounded Roots Therapy is an health care organization with primary practice located at 407 N Walsh St , Carson City NV 89701-4268. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Grounded Roots Therapy can be contacted via phone (775) 298-6386, or through Smith, Victoria via phone (775) 298-6386.

Contact Information

Primary practice address
407 N Walsh St Carson City NV 89701-4268
Phone: (775) 298-6386
Fax: (775) 825-7244
Website:
Map and Directions
Authorized official contact:
Name: Smith, Victoria Licensed Clinical Social Worker (LCSW)
Phone: (775) 298-6386

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1285301978
LBN Legal business name Grounded Roots Therapy
DBA Doing business as
Authorized official Smith, Victoria Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2021
Last updated Aug 30th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285301978 NPPES
Nevada MEDICAID 250008966

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