Organization
ROOTED SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA MARTINEZ-ORTIZ LCSW (OWNER/CLINICAL DIRECTOR)
(801) 390-7156
Entity
Organization
Contact information
Practice address
275 E SOUTH TEMPLE STE 200, SALT LAKE CITY, UT 84111-1252
(801) 390-7156
Mailing address
346 N 600 W, SALT LAKE CITY, UT 84116-3464
(801) 918-4640
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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