Provider Demographics
NPI:1295609212
Name:NATIVE ROOTS HEALTH & WELLNESS
Entity type:Organization
Organization Name:NATIVE ROOTS HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-833-2817
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:KS
Mailing Address - Zip Code:66866-0010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 W 2ND ST # 10
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:KS
Practice Address - Zip Code:66866-1014
Practice Address - Country:US
Practice Address - Phone:316-833-2817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty