Provider Demographics
NPI:1700604931
Name:UNROOTED COUNSELING LLC
Entity type:Organization
Organization Name:UNROOTED COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:971-220-2127
Mailing Address - Street 1:211 N 1ST ST STE 335
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-2800
Mailing Address - Country:US
Mailing Address - Phone:971-220-2127
Mailing Address - Fax:844-605-1865
Practice Address - Street 1:211 N 1ST ST STE 335
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-2800
Practice Address - Country:US
Practice Address - Phone:971-220-2127
Practice Address - Fax:844-605-1865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty