Healthcare Provider Details

I. General information

NPI: 1538024724
Provider Name (Legal Business Name): VERDANT ROOTS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2303 WYCLIFF ST STE 358
SAINT PAUL MN
55114-1272
US

IV. Provider business mailing address

4920 STEVENS AVE
MINNEAPOLIS MN
55419-5622
US

V. Phone/Fax

Practice location:
  • Phone: 507-320-1345
  • Fax:
Mailing address:
  • Phone: 651-272-8293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALYSON WEBSTER
Title or Position: OWNER, LPCC
Credential: LPCC
Phone: 651-272-8293