Golden Roots Therapy, LLC

NPI #1942045372 in Mahtomedi, Minnesota

Provider Information

NPI Number: 1942045372
Entity Type: Organization
Organization Name: Golden Roots Therapy, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 27, 2024
Last Updated: Jun 27, 2024

Practice Location

Address: 1614 MAHTOMEDI AVE
City: Mahtomedi
State: Minnesota
ZIP Code: 55115-1909
Phone: (612) 662-3989

Authorized Official

Name: JENNA HERTAUS, LPCC
Title: OWNER
Phone: (612) 662-3989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

Additional Practice Locations

12574 Foxhill Ave N

Hugo, MN, 55038-7544

(612) 662-3989

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