Organization
VITAL ROOTS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M THOMAS LCSW, LICSW, LMFT (OWNER/PSYCHOTHERAPIST)
(414) 200-9275
Entity
Organization
Contact information
Practice address
1622 N 48TH ST, MILWAUKEE, WI 53208-2247
(262) 337-2746
Mailing address
1622 N 48TH ST, MILWAUKEE, WI 53208-2247
(262) 337-2746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/14/2026
Last updated
03/10/2026
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