Organization
GROUNDED ROOTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SMITH LCSW (OWNER)
(775) 298-6386
Entity
Organization
Contact information
Practice address
407 N WALSH ST, CARSON CITY, NV 89701-4268
(775) 298-6386
(775) 825-7244
Mailing address
407 N WALSH ST, CARSON CITY, NV 89701-4268
(775) 298-6386
(775) 825-7244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250008966
—
NV
Enumeration date
08/30/2021
Last updated
08/30/2021
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