Healthcare Provider Details
I. General information
NPI: 1639009848
Provider Name (Legal Business Name): ROOTED IN RESILIENCE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 HIGH ST APT 341
ATLANTA GA
30346-1120
US
IV. Provider business mailing address
102 JIM LEE DR NE
ROME GA
30161-5725
US
V. Phone/Fax
- Phone: 404-354-6021
- Fax:
- Phone: 404-354-6021
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMARI
MORGAN
Title or Position: OWNER & LICENSED COUNSELOR
Credential: M.ED., LPC
Phone: 404-354-6021