Roots Unraveled, Llc

LBN: Roots Unraveled, Llc
Roots Unraveled, Llc is an health care organization with primary practice located at 413 Neponset Ave Ste 1 , Dorchester MA 02122-3184. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Roots Unraveled, Llc can be contacted via phone (617) 539-6339, or through Welcome, Jasmine via phone (617) 820-3566.

Contact Information

Primary practice address
413 Neponset Ave Ste 1 Dorchester MA 02122-3184
Phone: (617) 539-6339
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Welcome, Jasmine LICSW
Phone: (617) 820-3566

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1316540743
LBN Legal business name Roots Unraveled, Llc
DBA Doing business as
Authorized official Welcome, Jasmine LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2020
Last updated Nov 18th, 2020 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1316540743 NPPES
Massachusetts MEDICAID 1457888737

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