# ROOTED WILLOW PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rooted Willow Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376366021
- **Authorized official:** DR. LISA CAROLYN POIRIER DNP, PMHNP (PMHNP OWNER OF ROOTED WILLOW)
- **Authorized official phone:** (571) 536-2935

## Contact information

- **Practice address:** 9255 CENTER ST STE 200, MANASSAS, VA 20110-5079
- **Practice address phone:** (571) 536-2935
- **Practice address fax:** (571) 376-6638
- **Mailing address:** 8392 BRIARMONT LN, MANASSAS, VA 20112-2755
- **Mailing address phone:** (571) 536-2935
- **Mailing address fax:** (571) 376-6638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2024
- **Last updated:** 02/05/2025