Healthcare Provider Details

I. General information

NPI: 1043135064
Provider Name (Legal Business Name): ROOTED RESILIENCE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 OFFICE PARK DR STE 205
MOUNTAIN BRK AL
35223-2455
US

IV. Provider business mailing address

200 OFFICE PARK DR STE 205
MOUNTAIN BRK AL
35223-2455
US

V. Phone/Fax

Practice location:
  • Phone: 205-259-6979
  • Fax:
Mailing address:
  • Phone: 205-259-6979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KALEY TRAMMELL
Title or Position: OWNER
Credential: ALC
Phone: 205-514-2992