Healthcare Provider Details

I. General information

NPI: 1871405357
Provider Name (Legal Business Name): ROOTED BRANCH PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11036 NORTHCLIFFE BLVD
SPRING HILL FL
34608-3768
US

IV. Provider business mailing address

14308 LELANI DR
WEEKI WACHEE FL
34614-1924
US

V. Phone/Fax

Practice location:
  • Phone: 352-675-5901
  • Fax: 352-761-8962
Mailing address:
  • Phone: 352-238-7234
  • Fax: 352-761-8962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMBER TRAUTMAN
Title or Position: OWNER
Credential: APRN
Phone: 352-238-7234