Reviving Roots Therapy & Wellness

LBN: Revive Roots, Pllc
Reviving Roots Therapy & Wellness is an health care organization with primary practice located at 3440 Portland Ave , Minneapolis MN 55407-4861. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Revive Roots, Pllc can be contacted via phone (612) 990-8172, or through Dorsey, Marlee via phone (612) 445-7781.

Contact Information

Primary practice address
3440 Portland Ave Minneapolis MN 55407-4861
Phone: (612) 990-8172
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dorsey, Marlee MA, LPCC
Phone: (612) 445-7781

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1548800915
LBN Legal business name Revive Roots, Pllc
DBA Doing business as Reviving Roots Therapy & Wellness
Authorized official Dorsey, Marlee MA, LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2020
Last updated Sep 24th, 2020 - about 5 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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