Healthcare Provider Details
I. General information
NPI: 1225992159
Provider Name (Legal Business Name): RESILIENT ROOTS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2303 WYCLIFF ST STE 366
SAINT PAUL MN
55114-1272
US
IV. Provider business mailing address
3314 E 32ND ST
MINNEAPOLIS MN
55406-2007
US
V. Phone/Fax
- Phone: 612-404-2426
- Fax:
- Phone: 612-404-2426
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PATRICIA
KATHLEEN WILSON
MURRAY
Title or Position: CLINICAL PSYCHOLOGIST/OWNER
Credential: PSY.D., L.P.
Phone: 612-404-2426