# ROOTED PSYCHIATRY AND WELLNESS

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

## Provider details

- **NPI number:** 1750016390
- **Authorized official:** ALYSHA WOODS PMHNP-BC (CEO)
- **Authorized official phone:** (818) 809-0991

## Contact information

- **Practice address:** 507 W FOOTHILL BLVD, MONROVIA, CA 91016-2021
- **Practice address phone:** (818) 809-0991
- **Practice address fax:** (818) 533-9540
- **Mailing address:** 161 W ALTADENA DR \# 1001, ALTADENA, CA 91001-4735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2022
- **Last updated:** 08/15/2022