Healthcare Provider Details

I. General information

NPI: 1699620799
Provider Name (Legal Business Name): ROOTED PATHS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 02/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 NORTH PARK DRIVE
JOHNSON CITY TN
37604
US

IV. Provider business mailing address

501 UNION ST STE 545
NASHVILLE TN
37219-1876
US

V. Phone/Fax

Practice location:
  • Phone: 423-430-9350
  • Fax:
Mailing address:
  • Phone: 423-430-9350
  • 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: REBECCA L SHERFEY
Title or Position: OWNER/COUNSELOR
Credential: LPC-MHSP
Phone: 423-948-9435