Organization
ROOTS THERAPY & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE JONG KOCH LICSW (OWNER)
(612) 234-1072
Entity
Organization
Contact information
Practice address
730 E 38TH ST STE 102, MINNEAPOLIS, MN 55407-5218
(612) 964-7869
(651) 925-0606
Mailing address
3036 11TH AVE S, MINNEAPOLIS, MN 55407-1606
(612) 964-7869
(651) 925-0606
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
11/07/2025
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