Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Profound Roots Therapy Services

Organization Professional Counselor · NPI 1487348728

Profound Roots Therapy Services provides Professional Counselor services in West Dundee, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

609 Lisa Rd
West Dundee, IL 60118
Phone: (847) 565-1084
Fax: (847) 787-1746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1487348728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nelicia Butler — Owner · (847) 565-1084
NPI enumeratedJune 8, 2023
Last updated in NPPESJune 8, 2023
Certification dateMay 31, 2023
Mailing address244 S Randall Rd Ste 1134, Elgin, IL 60123-5529

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