Provider Demographics
NPI:1629969589
Name:HEALING ROOTS COUNSELING LLC
Entity type:Organization
Organization Name:HEALING ROOTS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUEITT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-657-1533
Mailing Address - Street 1:350 COUNTY ROAD 326
Mailing Address - Street 2:
Mailing Address - City:BERTRAM
Mailing Address - State:TX
Mailing Address - Zip Code:78605-4380
Mailing Address - Country:US
Mailing Address - Phone:205-535-8340
Mailing Address - Fax:
Practice Address - Street 1:350 COUNTY ROAD 326
Practice Address - Street 2:
Practice Address - City:BERTRAM
Practice Address - State:TX
Practice Address - Zip Code:78605-4380
Practice Address - Country:US
Practice Address - Phone:205-535-8340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)