Healthcare Provider Details

I. General information

NPI: 1790622132
Provider Name (Legal Business Name): ROOTED IN THE SUN COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 185TH ST STE H19
TINLEY PARK IL
60487-9309
US

IV. Provider business mailing address

8200 185TH ST STE H19
TINLEY PARK IL
60487-9309
US

V. Phone/Fax

Practice location:
  • Phone: 773-226-1860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARISOL BUCIO
Title or Position: BEHAVIORAL HEALTH THERAPIST/OWNER
Credential: LCPC
Phone: 773-226-1860