# GROUNDED ROOTS THERAPY

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

## Provider details

- **NPI number:** 1285301978
- **Authorized official:** VICTORIA SMITH LCSW (OWNER)
- **Authorized official phone:** (775) 298-6386

## Contact information

- **Practice address:** 407 N WALSH ST, CARSON CITY, NV 89701-4268
- **Practice address phone:** (775) 298-6386
- **Practice address fax:** (775) 825-7244
- **Mailing address:** 407 N WALSH ST, CARSON CITY, NV 89701-4268
- **Mailing address phone:** (775) 298-6386
- **Mailing address fax:** (775) 825-7244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2021
- **Last updated:** 08/30/2021