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

Well Rooted Integrative Therapy PLLC

Organization Clinical Psychologist · NPI 1750243002

Well Rooted Integrative Therapy PLLC is a Clinical Psychologist in Eagle, Idaho. Registered with an NPI since 2025.

In the registry since
2025
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

1191 E Iron Eagle Dr Ste 100
Eagle, ID 83616-5139
Phone: (208) 314-8655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1750243002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer McWaters — Owner · (208) 314-8655
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address3770 E Amity Ave Unit 105, Nampa, ID 83687-1194

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