Golden Roots Therapy, Llc

LBN: Golden Roots Therapy, Llc
Golden Roots Therapy, Llc is an health care organization with primary practice located at 1614 Mahtomedi Ave , Mahtomedi MN 55115-1909. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Golden Roots Therapy, Llc can be contacted via phone (612) 662-3989, or through Hertaus, Jenna via phone (612) 662-3989.

Contact Information

Primary practice address
1614 Mahtomedi Ave Mahtomedi MN 55115-1909
Phone: (612) 662-3989
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hertaus, Jenna LPCC
Phone: (612) 662-3989

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1942045372
LBN Legal business name Golden Roots Therapy, Llc
DBA Doing business as
Authorized official Hertaus, Jenna LPCC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2024
Last updated Jun 27th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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