Healthcare Provider Details

I. General information

NPI: 1598624702
Provider Name (Legal Business Name): ROOTED & RISING THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 BURLINGTON PATH RD
CREAM RIDGE NJ
08514-1604
US

IV. Provider business mailing address

117 BURLINGTON PATH RD
CREAM RIDGE NJ
08514-1604
US

V. Phone/Fax

Practice location:
  • Phone: 609-507-2783
  • Fax:
Mailing address:
  • Phone: 609-507-2783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ELISE N. CLASSEN
Title or Position: OWNER/SOLE MEMBER
Credential: LCSW
Phone: 732-887-3842