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

Grounded Roots Therapy PLLC

Organization Clinical Social Worker · NPI 1316516784

Grounded Roots Therapy PLLC is a Clinical Social Worker in Charlotte, North Carolina. 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

11845 Guildhall Ln
Charlotte, NC 28213-3890
Phone: (336) 965-8641
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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

Record details

NPI number1316516784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominique Edouard — Member/Organizer · (336) 965-8641
NPI enumeratedJune 21, 2021
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021
Mailing address11845 Guildhall Ln, Charlotte, NC 28213-3890

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