Healthcare Provider Details

I. General information

NPI: 1346198082
Provider Name (Legal Business Name): ROOTED RELATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W 2ND ST
MINNEAPOLIS KS
67467-2311
US

IV. Provider business mailing address

PO BOX 283
MINNEAPOLIS KS
67467-0283
US

V. Phone/Fax

Practice location:
  • Phone: 785-392-6531
  • Fax: 895-392-3142
Mailing address:
  • Phone: 785-392-6531
  • Fax: 785-392-3142

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 StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. ASHLEY FREEMAN
Title or Position: COUNSELOR
Credential: LPC, LMAC
Phone: 785-392-6531