Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
GROUNDED ROOTS THERAPY PLLC
Active
Organization
GROUNDED ROOTS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE EDOUARD MSW, LCSW (MEMBER/ORGANIZER)
(336) 965-8641
Entity
Organization
Contact information
Practice address
11845 GUILDHALL LN, CHARLOTTE, NC 28213-3890
(336) 965-8641
Mailing address
11845 GUILDHALL LN, CHARLOTTE, NC 28213-3890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up