Provider Demographics
NPI:1124710413
Name:ROOTED IN HEALING COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:ROOTED IN HEALING COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-439-9266
Mailing Address - Street 1:90 W CHESTNUT ST STE 125LL
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4513
Mailing Address - Country:US
Mailing Address - Phone:412-492-4376
Mailing Address - Fax:
Practice Address - Street 1:90 W CHESTNUT ST STE 125LL
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4513
Practice Address - Country:US
Practice Address - Phone:412-492-4376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty