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

Rooted Therapy and Wellness, PLLC

Organization Clinical Social Worker · NPI 1811719040

Rooted Therapy and Wellness, PLLC is a Clinical Social Worker in Fayetteville, Arkansas. Registered with an NPI since 2024.

In the registry since
2024
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

3546 E Greystone Dr
Fayetteville, AR 72764-6860
Phone: (509) 434-6386
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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 number1811719040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Wise Gendusa — Owner/Therapist · (509) 434-6386
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address3546 E Greystone Dr, Fayetteville, AR 72764-6860

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