# ROOTS BY RENEE

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

## Provider details

- **NPI number:** 1770400921
- **Authorized official:** RENEE ROMEO LMHC (OWNER)
- **Authorized official phone:** (347) 399-4659

## Contact information

- **Practice address:** 4150 SW RARDIN ST, PORT SAINT LUCIE, FL 34953-6151
- **Practice address phone:** (347) 399-4659
- **Mailing address:** 4150 SW RARDIN ST, PORT SAINT LUCIE, FL 34953-6151
- **Mailing address phone:** (347) 399-4659

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2026
- **Last updated:** 06/30/2026
