Healthcare Provider Details

I. General information

NPI: 1356204283
Provider Name (Legal Business Name): ROOTED BONDS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 N WASHINGTON BLVD
HAMILTON OH
45013-2338
US

IV. Provider business mailing address

2722 ERIE AVE STE 219 PMB 743304
CINCINNATI OH
45208-2154
US

V. Phone/Fax

Practice location:
  • Phone: 513-332-8144
  • Fax:
Mailing address:
  • Phone: 513-443-4363
  • 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: MARIAH TENDAM
Title or Position: OWNER
Credential: LPCC
Phone: 513-332-8144