ROOTED SOUL LLC NPI 1386520013

NPI Information

  • NPI: 1386520013
  • Provider Name: ROOTED SOUL LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 275 E SOUTH TEMPLE STE 200
    SALT LAKE CITY, UT
    ZIP 84111
  • Phone: (801) 390-7156

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NPI Details

ROOTED SOUL LLC is a mental health (including community mental health center) clinic center in Salt Lake City, UT. ROOTED SOUL LLC NPI is 1386520013. The provider is registered as an organization entity type.

The provider's business location address is:

275 E SOUTH TEMPLE STE 200
SALT LAKE CITY, UT
ZIP 84111-252
Phone: (801) 390-7156

The provider's authorized official is Sonya Martinez-ortiz .
The authorized official title is Owner/clinical Director and has the following contact phone number (801) 390-7156.

The enumeration date for this NPI number is 8/15/2025 and was last updated on 8/15/2025.

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 License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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