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Contact Information

HEALING ROOTS THERAPY, LLC
96 S MAIN ST APT 7
WATERBURY, VT05676-1543
 Phone: 603-818-0673
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for HEALING ROOTS THERAPY, LLC

NPI # 1568316180
LBN Legal business name HEALING ROOTS THERAPY, LLC
Authorized official CHANTELLE DIMAMBRO - (CLINICAL SOCIAL WORKER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2026
Last updated 02/21/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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