ROOTED THERAPEUTIC CENTER
NPI 1184208407
Counselor - Mental Health in Montgomery Village, MD

Active since May 12, 2021
20312 GRAZING WAY, MONTGOMERY VILLAGE, MD 20886(240) 644-7534 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Mental Health

About ROOTED THERAPEUTIC CENTER

This page provides the complete NPI Profile along with additional information for Rooted Therapeutic Center, a provider established in Montgomery Village, Maryland operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1184208407 assigned on May 2021. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Manuela E. Mbouma Lcpc (Founder/therapist)

NPI
1184208407 Verify this NPI
Provider Name
ROOTED THERAPEUTIC CENTER
Entity Type
Organization
Location Address
20312 GRAZING WAY MONTGOMERY VILLAGE, MD 20886
Location Phone
(240) 644-7534
Mailing Address
20312 GRAZING WAY MONTGOMERY VILLAGE, MD 20886
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2021
Last Update Date
05-12-2021
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A mental health counselor like Rooted Therapeutic Center provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MANUELA E. MBOUMA LCPC

Authorized Official Title
FOUNDER/THERAPIST
Authorized Official Phone
(240) 644-7534

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
20312 GRAZING WAY
MONTGOMERY VILLAGE, MD 20886

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184208407, enumerated as an "organization" on May 12, 2021.

The provider is located at 20312 GRAZING WAY MONTGOMERY VILLAGE, MD 20886 and the phone number is (240) 644-7534.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.