ROOTWISE MENTAL WELLNESS NPI 1417789702

NPI Information

  • NPI: 1417789702
  • Provider Name: ROOTWISE MENTAL WELLNESS
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4048 COLUMBUS AVE
    MINNEAPOLIS, MN
    ZIP 55407
  • Phone: (641) 780-2070

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NPI Details

ROOTWISE MENTAL WELLNESS is a mental health (including community mental health center) clinic center in Minneapolis, MN. ROOTWISE MENTAL WELLNESS NPI is 1417789702. The provider is registered as an organization entity type.

The provider's business location address is:

4048 COLUMBUS AVE
MINNEAPOLIS, MN
ZIP 55407-111
Phone: (641) 780-2070

The provider's authorized official is Leah Challberg .
The authorized official title is Owner and has the following contact phone number (641) 780-2070.

The enumeration date for this NPI number is 8/15/2024 and was last updated on 8/15/2024.

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
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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