Healthcare Provider Details

I. General information

NPI: 1689528804
Provider Name (Legal Business Name): ROOTED RESILIENCE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S JEFFERSON ST
BATAVIA IL
60510-3038
US

IV. Provider business mailing address

1911 W WILSON ST
BATAVIA IL
60510-1680
US

V. Phone/Fax

Practice location:
  • Phone: 708-303-8156
  • Fax:
Mailing address:
  • Phone: 708-303-8156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SHELBY HARTZELL
Title or Position: OWNER/THERAPIST
Credential:
Phone: 708-303-8156