PROFOUND ROOTS THERAPY SERVICES
NPI 1487348728
Counselor - Professional in West Dundee, IL

Active since June 08, 2023
609 LISA ROAD, WEST DUNDEE, IL 60118(847) 565-1084(847) 787-1746 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Profound Roots Therapy Services NPPES

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

PROFOUND ROOTS THERAPY SERVICES (NPI 1487348728) is a healthcare organization registered as a professional in West Dundee, Illinois and active in the NPI registry since June 2023. The organization lists Nelicia Butler, Owner, as its authorized official.

NPPES Registry Identity

NPI1487348728
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePROFOUND ROOTS THERAPY SERVICES
Location Address609 LISA ROADWest Dundee, IL 60118
Mailing Address244 S Randall Rd Ste 1134Elgin, IL 60123-5529 · (847) 565-1084 · Fax (847) 787-1746
Fax(847) 787-1746
Organization SubpartNo
Authorized OfficialNelicia ButlerOwner · (847) 565-1084
Enumeration DateJune 8, 2023
NPPES CertifiedMay 31, 2023
NPI 1487348728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
609 LISA ROAD, West Dundee, IL 60118

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

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 Profound Roots Therapy Services's NPI number?

The NPI number for Profound Roots Therapy Services is 1487348728. It was assigned to this organization in the NPPES registry on June 8, 2023.

Where is Profound Roots Therapy Services located?

Profound Roots Therapy Services is located at 609 Lisa Road, West Dundee, IL 60118. The listed phone number is (847) 565-1084.

What is Profound Roots Therapy Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Profound Roots Therapy Services was last updated on June 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.