Healthcare Provider Details

I. General information

NPI: 1740114057
Provider Name (Legal Business Name): TAPROOT WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 MOORE ST
PROVIDENCE RI
02907-1415
US

IV. Provider business mailing address

38 MOORE ST
PROVIDENCE RI
02907-1415
US

V. Phone/Fax

Practice location:
  • Phone: 562-760-4020
  • Fax: 401-340-1652
Mailing address:
  • Phone: 562-760-4020
  • Fax: 401-340-1652

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: DAVID HELFER
Title or Position: MANAGER
Credential: LICSW
Phone: 562-760-4020