# ELIZABETH ROOT MA, LMFT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174362552
- **Authorized official:** JUSTIN PARKER (OFFICE MANAGER)
- **Authorized official phone:** (865) 384-0318

## Contact information

- **Practice address:** 8170 OLD CARRIAGE CT STE 200, SHAKOPEE, MN 55379-3169
- **Practice address phone:** (612) 385-6137
- **Mailing address:** 8170 OLD CARRIAGE CT STE 200, SHAKOPEE, MN 55379-3169
- **Mailing address phone:** (612) 385-6137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2024
- **Last updated:** 12/10/2024