Healthcare Provider Details

I. General information

NPI: 1285550731
Provider Name (Legal Business Name): ROOTED WITHIN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 HOMELAND SOUTHWAY APT 2B
BALTIMORE MD
21212-3342
US

IV. Provider business mailing address

380 HOMELAND SOUTHWAY APT 2B
BALTIMORE MD
21212-3342
US

V. Phone/Fax

Practice location:
  • Phone: 443-593-4133
  • Fax:
Mailing address:
  • Phone: 443-593-4133
  • 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: ALEXIS DOMINIQUE GARRETT
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCPC
Phone: 443-593-4133