Provider Demographics
NPI:1649001553
Name:GUIDING ROOTS, LLC.
Entity type:Organization
Organization Name:GUIDING ROOTS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUNTER
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LBS
Authorized Official - Phone:724-787-9715
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:LOYALHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:15661-0334
Mailing Address - Country:US
Mailing Address - Phone:724-313-6555
Mailing Address - Fax:
Practice Address - Street 1:201 CLINTON ST
Practice Address - Street 2:
Practice Address - City:LOYALHANNA
Practice Address - State:PA
Practice Address - Zip Code:15661-9730
Practice Address - Country:US
Practice Address - Phone:724-313-6555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health