MINDFUL ROOTS WELLNESS PLLC NPI 1336964527

NPI Information

  • NPI: 1336964527
  • Provider Name: MINDFUL ROOTS WELLNESS PLLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 108 S JACKSON ST STE 301
    SEATTLE, WA
    ZIP 98104
  • Phone: (509) 724-0152

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NPI Details

MINDFUL ROOTS WELLNESS PLLC is an adult mental health clinic center in Seattle, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MINDFUL ROOTS WELLNESS PLLC NPI is 1336964527. The provider is registered as an organization entity type.

The provider's business location address is:

108 S JACKSON ST STE 301
SEATTLE, WA
ZIP 98104-872
Phone: (509) 724-0152

The provider's authorized official is Amy Hersh .
The authorized official title is Owner and has the following contact phone number (509) 724-0152.

The enumeration date for this NPI number is 11/21/2024 and was last updated on 11/21/2024.

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 License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

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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