ROOTS WELLNESS CENTER LLC NPI 1689167520

NPI Information

  • NPI: 1689167520
  • Provider Name: ROOTS WELLNESS CENTER, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 3745 CHEROKEE ST NW STE 606
    KENNESAW, GA
    ZIP 30144
  • Phone: (404) 849-8230

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NPI Details

ROOTS WELLNESS CENTER, LLC is a professional counselor in Kennesaw, GA. ROOTS WELLNESS CENTER, LLC NPI is 1689167520. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3745 CHEROKEE ST NW STE 606
KENNESAW, GA
ZIP 30144-785
Phone: (404) 849-8230

The provider's authorized official is Amy Barker .
The authorized official title is Owner and has the following contact phone number (404) 849-8230.

The enumeration date for this NPI number is 6/13/2018 and was last updated on 6/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC004570GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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