Healthcare Provider Details

I. General information

NPI: 1346170917
Provider Name (Legal Business Name): ASTERROOT WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 MAIN ST UNIT 74
ATKINSON NH
03811-2804
US

IV. Provider business mailing address

9 MAIN ST UNIT 74
ATKINSON NH
03811-2804
US

V. Phone/Fax

Practice location:
  • Phone: 603-314-3040
  • Fax: 978-234-4077
Mailing address:
  • Phone: 603-314-3040
  • Fax: 978-234-4077

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: ASHLEY RAYMOND
Title or Position: PARTNER
Credential: MS, LCMHC
Phone: 603-314-3040