ROOTED FREEDOM NPI 1750177259

NPI Information

  • NPI: 1750177259
  • Provider Name: ROOTED FREEDOM
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1612 CURDES AVE
    FORT WAYNE, IN
    ZIP 46805
  • Phone: (260) 255-6355

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NPI Details

ROOTED FREEDOM is a mental health counselor in Fort Wayne, IN. ROOTED FREEDOM NPI is 1750177259. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1612 CURDES AVE
FORT WAYNE, IN
ZIP 46805-619
Phone: (260) 255-6355

The provider's authorized official is Angela Glick .
The authorized official title is Licensed Mental Health Counselor and has the following contact phone number (260) 255-6355.

The enumeration date for this NPI number is 4/19/2025 and was last updated on 4/19/2025.

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
1101YM0800XCounselorMental 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

NPI Synchronization or Removal

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