Healthcare Provider Details

I. General information

NPI: 1336066190
Provider Name (Legal Business Name): ROOTED HEART COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

160 W 600 N
KOOSHAREM UT
84744-7745
US

IV. Provider business mailing address

PO BOX 440013
KOOSHAREM UT
84744-0013
US

V. Phone/Fax

Practice location:
  • Phone: 801-793-0388
  • Fax:
Mailing address:
  • Phone: 801-793-0388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SUMMER WOOLSEY
Title or Position: OWNER/MEMBER
Credential: MA, LMFT
Phone: 801-793-0388