Organization
RESILIENT ROOTS THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHANTI MIRANDA LCSW (OWNER/OPERATOR)
(213) 537-2874
Entity
Organization
Contact information
Practice address
6555 AMBROSIA DR, SAN DIEGO, CA 92124-3226
(213) 537-2874
Mailing address
1050 UNIVERSITY AVE STE 107, SAN DIEGO, CA 92103-3359
(213) 537-2874
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up