Healthcare Provider Details

I. General information

NPI: 1164340030
Provider Name (Legal Business Name): ROOTED MINDS COUNSELING & CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SULGRAVE AVE STE 311A
BALTIMORE MD
21209-3654
US

IV. Provider business mailing address

1501 SULGRAVE AVE STE 311A
BALTIMORE MD
21209-3654
US

V. Phone/Fax

Practice location:
  • Phone: 410-929-0285
  • Fax:
Mailing address:
  • Phone: 410-929-0285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY SPENCER
Title or Position: OWNER
Credential: LCPC
Phone: 410-929-0285