Healthcare Provider Details

I. General information

NPI: 1437014693
Provider Name (Legal Business Name): RESILIENT ROOTS COUNSELING AND CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 W CENTERVILLE RD STE 206
GARLAND TX
75041-5457
US

IV. Provider business mailing address

633 W CENTERVILLE RD STE 206
GARLAND TX
75041-5457
US

V. Phone/Fax

Practice location:
  • Phone: 214-702-1310
  • Fax:
Mailing address:
  • Phone: 214-702-1310
  • 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: DR. KRISTIN ROSS
Title or Position: OWNER
Credential: LMFT-S
Phone: 214-702-1310