Healthcare Provider Details

I. General information

NPI: 1669331872
Provider Name (Legal Business Name): ROOTED COUNSELING & CONSULTING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 POST RD STE 105
WARWICK RI
02886-1547
US

IV. Provider business mailing address

1865 POST RD STE 105
WARWICK RI
02886-1547
US

V. Phone/Fax

Practice location:
  • Phone: 781-866-3191
  • Fax:
Mailing address:
  • Phone: 781-866-3191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: CLAUDEL CHEVRY
Title or Position: CLINICIAN AND OPERATION MANAGER
Credential: LCSW
Phone: 781-866-3191