Healthcare Provider Details

I. General information

NPI: 1972419083
Provider Name (Legal Business Name): ROOTED WITHIN COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18097 W CIELO GRANDE AVE
SURPRISE AZ
85387-2360
US

IV. Provider business mailing address

18097 W CIELO GRANDE AVE
SURPRISE AZ
85387-2360
US

V. Phone/Fax

Practice location:
  • Phone: 805-292-0856
  • Fax:
Mailing address:
  • Phone: 805-292-0856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VALERIE HANNA-PATENAUDE
Title or Position: OWNER/OPERATOR
Credential:
Phone: 805-292-0856