CREATIVE ROOTS COUNSELING, LLC
NPI 1750085056
Clinic/Center - Mental Health (Including Community Mental Health Center) in Youngsville, NM

Active since March 29, 2023
24 POLVADERA PL, YOUNGSVILLE, NM 87064(617) 834-8204 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Creative Roots Counseling, Llc NPPES

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

CREATIVE ROOTS COUNSELING, LLC (NPI 1750085056) is a healthcare organization registered as a mental health (including community mental health center) in Youngsville, New Mexico and active in the NPI registry since March 2023. The organization lists Sarah Grenzeback, Owner, as its authorized official.

NPPES Registry Identity

NPI1750085056
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCREATIVE ROOTS COUNSELING, LLC
Location Address24 POLVADERA PLYoungsville, NM 87064-0199
Mailing AddressPo Box 817Abiquiu, NM 87510-0817
Organization SubpartNo
Authorized OfficialSarah GrenzebackOwner · (617) 834-8204
Enumeration DateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
NPI 1750085056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
24 POLVADERA PL, Youngsville, NM 87064

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 (Mental Health)
24 POLVADERA PL
YOUNGSVILLE, NM 87064

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 Creative Roots Counseling, LLC's NPI number?

The NPI number for Creative Roots Counseling, LLC is 1750085056. It was assigned to this organization in the NPPES registry on March 29, 2023.

Where is Creative Roots Counseling, LLC located?

Creative Roots Counseling, LLC is located at 24 Polvadera Pl, Youngsville, NM 87064. The listed phone number is (617) 834-8204.

What is Creative Roots Counseling, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Creative Roots Counseling, LLC was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.