Healthcare Provider Details

I. General information

NPI: 1326937756
Provider Name (Legal Business Name): ROOTED TOGETHER COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 RICHMOND ST.
SELMA VA
24474
US

IV. Provider business mailing address

PO BOX 27
SELMA VA
24474-0027
US

V. Phone/Fax

Practice location:
  • Phone: 540-691-3289
  • Fax:
Mailing address:
  • Phone: 540-865-0495
  • Fax: 888-830-6674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARAH ANNE FITZGERALD
Title or Position: OWNER/DIRECTOR
Credential: LPC
Phone: 540-691-3289