LIVING ROOTS PSYCHOTHERAPY, LLC – NPI #1962997064
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

LIVING ROOTS PSYCHOTHERAPY, LLC is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1962997064 to LIVING ROOTS PSYCHOTHERAPY, LLC on June 30, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 8 years ago on Jul 23, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIVING ROOTS PSYCHOTHERAPY, LLC below.

NPI Profile for
LIVING ROOTS PSYCHOTHERAPY, LLC

NPI Number
1962997064
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIVING ROOTS PSYCHOTHERAPY, LLC
Primary location
4310 N SPAULDING AVE
CHICAGO, IL 60618
Phone: (312) 371-3115 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SARAH GUTIERREZ
OWNER
Phone: (312) 371-3115
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.