Healthcare Provider Details

I. General information

NPI: 1568384469
Provider Name (Legal Business Name): ROOTED TOGETHER THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 NW 25TH CT
GRIMES IA
50111-8200
US

IV. Provider business mailing address

187 NW 25TH CT
GRIMES IA
50111-8200
US

V. Phone/Fax

Practice location:
  • Phone: 515-537-5610
  • Fax:
Mailing address:
  • Phone:
  • 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: DANIELLE COOPER
Title or Position: THERAPIST
Credential: LMHC
Phone: 515-537-5610