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

Deep Roots Mental Health, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1063293678

Deep Roots Mental Health, LLC is a Psychiatric/Mental Health Nurse Practitioner in Jackson, Wyoming. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

480 S Cache St
Jackson, WY 83001-8222
Phone: (307) 264-2492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1063293678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hannah Meier — Owner · (802) 355-0166
NPI enumeratedOctober 10, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing addressPo Box 7030, Jackson, WY 83002-7030

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