ROOTED2THRIVE NPI 1194530519

NPI Information

NPI: 1194530519
Provider Name: ROOTED2THRIVE
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 6961 HERITAGE DR STE B
PORT ST LUCIE, FL
ZIP 34952
Phone: (619) 975-3746

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NPI Details

ROOTED2THRIVE is a mental health (including community mental health center) clinic center in Port St Lucie, FL. ROOTED2THRIVE NPI is 1194530519. The provider is registered as an organization entity type.

The provider's business location address is:

6961 HERITAGE DR STE B
PORT ST LUCIE, FL
ZIP 34952-229
Phone: (619) 975-3746

The provider's authorized official is Siniqua R Copeland .
The authorized official title is Mgr/owner and has the following contact phone number (614) 496-4515.

The enumeration date for this NPI number is 2/12/2025 and was last updated on 3/24/2025.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No

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: 11/21/2025

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