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

Rooted Therapeutic Center

Organization Mental Health Counselor · NPI 1184208407

Rooted Therapeutic Center is a Mental Health Counselor in Montgomery Village, Maryland. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

20312 Grazing Way
Montgomery Village, MD 20886-1210
Phone: (240) 644-7534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1184208407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuela Mbouma — Founder/Therapist · (240) 644-7534
NPI enumeratedMay 12, 2021
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021
Mailing address20312 Grazing Way, Montgomery Village, MD 20886-1210

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