Organization
ROOTED WELLNESS COLLECTIVE, LLC
Active
Organization
ROOTED WELLNESS COLLECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE H EDIDIN LCSW (OWNER)
(505) 690-4097
Entity
Organization
Contact information
Practice address
516 11TH ST NW, ALBUQUERQUE, NM 87102-1806
(505) 690-4097
Mailing address
516 11TH ST NW, ALBUQUERQUE, NM 87102-1806
(505) 690-4097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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