Organization
GROUNDED ROOTS PSYCHOTHERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAIRE ELISSA KING MA, LMFT (OWNER)
(704) 593-6773
Entity
Organization
Contact information
Practice address
1923 J N PEASE PL STE 101, CHARLOTTE, NC 28262-4534
(704) 593-6773
Mailing address
1923 J N PEASE PL STE 101, CHARLOTTE, NC 28262-4534
(704) 593-6773
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376009209
PERSONAL
NC
Enumeration date
03/15/2025
Last updated
08/18/2025
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