# NURTURING ROOTS MENTAL HEALTH CENTER LLC

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

## Provider details

- **NPI number:** 1871333559
- **Authorized official:** MRS. CRYSTAL GARLAND PMHNP-BC (APRN)
- **Authorized official phone:** (302) 404-0130

## Contact information

- **Practice address:** 33 S STATE ST, DOVER, DE 19901-7311
- **Practice address phone:** (302) 404-0130
- **Mailing address:** 2810 N CHURCH STREET, PMB 301047, WILMINGTON, DE 19802-4447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2024
- **Last updated:** 05/29/2024
