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

Rooted Willow Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1376366021

Rooted Willow Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Manassas, Virginia. 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.

See every abbreviation used in this directory →

Practice location Address checks out

9255 Center St Ste 200
Manassas, VA 20110-5079
Phone: (571) 536-2935
Fax: (571) 376-6638
Show map & directions

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 number1376366021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Poirier — Pmhnp Owner Of Rooted Willow · (571) 536-2935
Other names Rooted Willow Psychiatry; Rooted Willow Psychiatry
NPI enumeratedNovember 1, 2024
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025
Mailing address8392 Briarmont Ln, Manassas, VA 20112-2755

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