Healthcare Provider Details

I. General information

NPI: 1801733571
Provider Name (Legal Business Name): ROOTED PRESENCE AND PURPOSE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 S ROUTE 59 STE 116-246
PLAINFIELD IL
60585-5826
US

IV. Provider business mailing address

13400 S ROUTE 59 STE 116-246
PLAINFIELD IL
60585-5826
US

V. Phone/Fax

Practice location:
  • Phone: 773-977-9739
  • Fax:
Mailing address:
  • Phone: 773-977-9739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALICIA VIERA
Title or Position: LICENSED CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 773-977-9739