Healthcare Provider Details

I. General information

NPI: 1942161138
Provider Name (Legal Business Name): FROM THE ROOTS - HEALING & GROWTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5608 17TH AVE NW # 1941
SEATTLE WA
98107-5232
US

IV. Provider business mailing address

5608 17TH AVE NW # 1941
SEATTLE WA
98107-5232
US

V. Phone/Fax

Practice location:
  • Phone: 520-800-3434
  • Fax:
Mailing address:
  • Phone:
  • 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: DARCY ELTON
Title or Position: OWNER
Credential:
Phone: 520-800-3434