Healthcare Provider Details

I. General information

NPI: 1700700911
Provider Name (Legal Business Name): SAFE ROOTS THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 W NOB HILL BLVD APT 171
YAKIMA WA
98908-3641
US

IV. Provider business mailing address

5200 W NOB HILL BLVD APT 171
YAKIMA WA
98908-3641
US

V. Phone/Fax

Practice location:
  • Phone: 509-213-0322
  • Fax:
Mailing address:
  • Phone: 509-213-0322
  • 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: ERICA LUCERO ARELLANES-RIOS
Title or Position: LMHC
Credential:
Phone: 509-379-4573