Healthcare Provider Details

I. General information

NPI: 1396687497
Provider Name (Legal Business Name): REFINING ROOTS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 S GRAND ARBOR CT STE 131
SIOUX FALLS SD
57108-3456
US

IV. Provider business mailing address

7520 S GRAND ARBOR CT STE 131
SIOUX FALLS SD
57108-3456
US

V. Phone/Fax

Practice location:
  • Phone: 605-359-3253
  • Fax:
Mailing address:
  • Phone: 605-359-3253
  • 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: ERIN RATCHFORD
Title or Position: OWNER
Credential: CSW-PIP
Phone: 605-359-3253