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RECOVERY ROOTS
NPI 1720761927
Counselor - Addiction (Substance Use Disorder) in Sandstone, MN

Active since August 14, 2023
114 MINNESOTA ST. SANDSTONE, MN 55072, SANDSTONE, MN 55072(218) 380-2551 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2024, Aug 14, 2023 (2 updates tracked since 2023).

About Recovery Roots NPPES

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

RECOVERY ROOTS (NPI 1720761927) is a healthcare organization registered as an addiction (substance use disorder) in Sandstone, Minnesota and active in the NPI registry since August 2023. The organization lists Kasey Lyn Wilson, Sud Counselor, as its authorized official.

NPPES Registry Identity

NPI1720761927
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameRECOVERY ROOTS SUPPORTIVE SERVICES LLC
Location Address114 MINNESOTA ST. SANDSTONE, MN 55072Sandstone, MN 55072
Mailing Address4394 N Kenwood AveMoose Lake, MN 55767-7739 · (218) 380-2551
Phone(218) 380-2551
Organization SubpartNo
Authorized OfficialKasey Lyn WilsonSud Counselor · (218) 380-2551
Enumeration DateAugust 14, 2023
Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1720761927 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
114 MINNESOTA ST. SANDSTONE, MN 55072, Sandstone, MN 55072
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Other Names 1

Doing Business AsRecovery Roots

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.

KELLY ANN VILLA
Counselor (Addiction (Substance Use Disorder))
114 MINNESOTA ST. SANDSTONE, MN 55072
SANDSTONE, MN 55072
Pine County (218) 380-2551

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 Recovery Roots Supportive Services LLC's NPI number?

The NPI number for Recovery Roots Supportive Services LLC is 1720761927. It was assigned to this organization in the NPPES registry on August 14, 2023. The provider is doing business as Recovery Roots.

Where is Recovery Roots Supportive Services LLC located?

Recovery Roots Supportive Services LLC is located at 114 Minnesota St. Sandstone, Mn 55072, Sandstone, MN 55072. The listed phone number is (218) 380-2551.

What is Recovery Roots Supportive Services 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 Recovery Roots Supportive Services LLC was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.