MEDICARE: ROOTED BONDS COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1356204283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOTED BONDS COUNSELING LLC

Provider Business Mailing Address
First Line	:	2722 ERIE AVE STE 219
Second Line	:	PMB 743304
City	:	CINCINNATI
State	:	OH
Zip	:	45208-2154
Country	:	US
Telephone Number	:	513-443-4363
Fax Number	:

Provider Business Practice Location Address
First Line	:	380 N WASHINGTON BLVD
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45013-2338
Country	:	US
Telephone Number	:	513-332-8144
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIAH TENDAM
Credential	:	LPCC
Telephone Number	:	513-332-8144

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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