ROOTS TO RECOVERY COLLECTIVE LLC
NPI 1477349900
Counselor - Addiction (Substance Use Disorder) in Davenport, IA

Active since April 21, 2025
1411 BRADY ST, DAVENPORT, IA 52803(563) 505-5621 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roots To Recovery Collective Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOTS TO RECOVERY COLLECTIVE LLC (NPI 1477349900) is a healthcare organization registered as an addiction (substance use disorder) in Davenport, Iowa and active in the NPI registry since April 2025. The organization lists Michael Gayman, Owner, as its authorized official.

NPPES Registry Identity

NPI1477349900
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameROOTS TO RECOVERY COLLECTIVE LLC
Location Address1411 BRADY STDavenport, IA 52803-4603
Mailing Address1411 Brady StDavenport, IA 52803-4603 · (563) 505-5621
Organization SubpartNo
Authorized OfficialMichael GaymanOwner · (563) 505-5621
Enumeration DateApril 21, 2025
NPPES CertifiedApril 20, 2025
NPI 1477349900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1411 BRADY ST, Davenport, IA 52803

Other Identifiers 1

Other25R501IA · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1411 BRADY ST
DAVENPORT, IA 52803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roots To Recovery Collective LLC's NPI number?

The NPI number for Roots To Recovery Collective LLC is 1477349900. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Roots To Recovery Collective LLC located?

Roots To Recovery Collective LLC is located at 1411 Brady St, Davenport, IA 52803. The listed phone number is (563) 505-5621.

What is Roots To Recovery Collective LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Roots To Recovery Collective LLC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.