# BARE ROOTS WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bare Roots Nurse Coach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851158489
- **Authorized official:** CRYSTAL BROWN RN (RN)
- **Authorized official phone:** (214) 560-4222

## Contact information

- **Practice address:** 13101 PRESTON RD STE 110-282, DALLAS, TX 75240-5237
- **Practice address phone:** (214) 560-4222
- **Mailing address:** 13101 PRESTON RD STE 210-282, DALLAS, TX 75240-5237
- **Mailing address phone:** (214) 560-4222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 02/29/2024
- **Last updated:** 03/06/2024