RESILIENT ROOTS THERAPY LLC NPI 1548949027

NPI Information

  • NPI: 1548949027
  • Provider Name: RESILIENT ROOTS THERAPY, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4434 SECOR RD STE 2
    TOLEDO, OH
    ZIP 43623
  • Phone: (567) 343-0890

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NPI Details

RESILIENT ROOTS THERAPY, LLC is a mental health (including community mental health center) clinic center in Toledo, OH. RESILIENT ROOTS THERAPY, LLC NPI is 1548949027. The provider is registered as an organization entity type.

The provider's business location address is:

4434 SECOR RD STE 2
TOLEDO, OH
ZIP 43623-265
Phone: (567) 343-0890
Fax: (419) 318-3086

The provider's authorized official is Catherine Boellner .
The authorized official title is Owner and has the following contact phone number (567) 343-0890.

The enumeration date for this NPI number is 7/12/2023 and was last updated on 4/2/2024.

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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