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

Rooting Wild Movement LLC

Organization Counselor · NPI 1174351704

Rooting Wild Movement LLC is a Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4130 Ridge Ave Ste 5600
Philadelphia, PA 19129-1534
Phone: (985) 257-6774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1174351704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Harman — Owner/Therapist · (985) 257-6774
NPI enumeratedJuly 24, 2024
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing addressPo Box 5600, Philadelphia, PA 19129-0600

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