Healthcare Provider Details

I. General information

NPI: 1366388365
Provider Name (Legal Business Name): ROOT AND BLOOM MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26360 464TH AVE
HARTFORD SD
57033-6921
US

IV. Provider business mailing address

26360 464TH AVE
HARTFORD SD
57033-6921
US

V. Phone/Fax

Practice location:
  • Phone: 605-679-1755
  • Fax: 605-309-7988
Mailing address:
  • Phone: 605-679-1755
  • Fax: 605-309-7988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: ESTELA CHESTER
Title or Position: OWNER/PROVIDER
Credential: PMHNP-BC
Phone: 605-679-1755