Healthcare Provider Details

I. General information

NPI: 1760328629
Provider Name (Legal Business Name): ROOTED NAMU COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 CHAPMAN AVE APT 448
ROCKVILLE MD
20852-5671
US

IV. Provider business mailing address

1801 CHAPMAN AVE APT 448
ROCKVILLE MD
20852-5671
US

V. Phone/Fax

Practice location:
  • Phone: 240-688-3021
  • Fax:
Mailing address:
  • Phone: 240-688-3021
  • 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: MR. JOHN LEE CHOI
Title or Position: THERAPIST AND OWNER
Credential: LCPC
Phone: 240-688-3021