Provider Demographics
NPI:1407729593
Name:ROOTED LOTUS COUNSELING & CO LLC
Entity type:Organization
Organization Name:ROOTED LOTUS COUNSELING & CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKHARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:970-689-7273
Mailing Address - Street 1:35514 COUNTY ROAD 59
Mailing Address - Street 2:
Mailing Address - City:GILL
Mailing Address - State:CO
Mailing Address - Zip Code:80624-9615
Mailing Address - Country:US
Mailing Address - Phone:970-689-7273
Mailing Address - Fax:
Practice Address - Street 1:35514 COUNTY ROAD 59
Practice Address - Street 2:
Practice Address - City:GILL
Practice Address - State:CO
Practice Address - Zip Code:80624-9615
Practice Address - Country:US
Practice Address - Phone:970-689-7273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty