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Organization
ROOTED HOLISTIC MINDCARE LLC
Active
Organization
ROOTED HOLISTIC MINDCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA G. MCANUFF PMHNP-BC (OWNER)
(334) 327-6678
Entity
Organization
Contact information
Practice address
5405 INDIAN RIVER RD STE E, VIRGINIA BEACH, VA 23464-5322
(336) 327-6678
Mailing address
5405 INDIAN RIVER RD STE E, VIRGINIA BEACH, VA 23464-5322
(336) 327-6678
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/18/2026
Last updated
09/24/2026
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