Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Authentic Roots Therapy PLLC

Organization Marriage & Family Therapist · NPI 1346822046

Authentic Roots Therapy PLLC is a Marriage & Family Therapist in Minneapolis, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7077 Northland Cir N Ste 330
Minneapolis, MN 55428-1567
Phone: (612) 799-6652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1346822046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Wirth — Ceo · (612) 799-6652
NPI enumeratedApril 22, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address11711 55th St Ne, Albertville, MN 55301-9745

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