# ALTARED ROOTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Altared Roots
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851973770
- **Authorized official:** GERARD DOUGLAS MILLER JR. C-FSD, C-CBE, I-CBE, (DOULA)
- **Authorized official phone:** (301) 467-5612

## Contact information

- **Practice address:** 11002 12TH AVE SW, SEATTLE, WA 98146-2126
- **Practice address phone:** (301) 467-5612
- **Mailing address:** 11002 12TH AVE SW, SEATTLE, WA 98146-2126
- **Mailing address phone:** (301) 467-5612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 374J00000X | Doula | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2021
- **Last updated:** 01/23/2026