HEALING ROOTS COUNSELING LLC NPI 1861050072

NPI Information

  • NPI: 1861050072
  • Provider Name: HEALING ROOTS COUNSELING, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 220 S PINE ST STE 102
    SISTERS, OR
    ZIP 97759
  • Phone: (541) 904-0083

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NPI Details

HEALING ROOTS COUNSELING, LLC is a mental health counselor in Sisters, OR. HEALING ROOTS COUNSELING, LLC NPI is 1861050072. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 S PINE ST STE 102
SISTERS, OR
ZIP 97759-670
Phone: (541) 904-0083
Fax: (541) 508-4526

The provider's authorized official is Angela K Pyke .
The authorized official title is Counselor and has the following contact phone number (541) 904-0083.

The enumeration date for this NPI number is 6/3/2019 and was last updated on 8/23/2023.

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

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