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

Deep Roots Healing, PLLC

Organization Social Worker · NPI 1639971203

Deep Roots Healing, PLLC is a Social Worker in Grand Forks, North Dakota. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

311 S 4th St Ste 116
Grand Forks, ND 58201-4792
Phone: (701) 620-9876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X

Record details

NPI number1639971203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gaudencia Palomo-Burns — Clinical Social Worker · (701) 787-1332
Other names Deep Roots Healing, Pllc; Deep Roots Healing, Pllc
NPI enumeratedMarch 25, 2025
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address311 S 4th St Ste 116, Grand Forks, ND 58201-4792

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