Healthcare Provider Details

I. General information

NPI: 1881538031
Provider Name (Legal Business Name): ROOTED FOR GROWTH COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HIGHLAND AVE
CARROLLTON KY
41008-1016
US

IV. Provider business mailing address

1985 HIGHWAY 467
WORTHVILLE KY
41098-9756
US

V. Phone/Fax

Practice location:
  • Phone: 502-480-1096
  • Fax:
Mailing address:
  • Phone: 502-480-1096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY WATKINS
Title or Position: OWNER
Credential: LPCC
Phone: 502-480-1096