MEDICARE: GROWING ROOTZ

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1619820842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROWING ROOTZ

Provider Business Mailing Address
First Line	:	4015 W MCNAB RD APT D205
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-6516
Country	:	US
Telephone Number	:	954-692-6161
Fax Number	:

Provider Business Practice Location Address
First Line	:	7501 WILES RD STE 105
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2063
Country	:	US
Telephone Number	:	954-692-6161
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. REBECCA BRATCHER
Credential	:	LCSW
Telephone Number	:	317-339-8248

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “GROWING ROOTZ ” Practice Location

Language	Start Address	Practice Location

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