# DEEP ROOTS HOLISTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deep Roots Family Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023584034
- **Authorized official:** MRS. CHRISTAL DEHAY AP (OWNER)
- **Authorized official phone:** (904) 412-6168

## Contact information

- **Practice address:** 6171 SW 42ND CT, DAVIE, FL 33314-3413
- **Practice address phone:** (904) 412-6168
- **Mailing address:** 6171 SW 42ND CT, DAVIE, FL 33314-3413
- **Mailing address phone:** (904) 412-6168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2018
- **Last updated:** 10/17/2018