ROOTS TO WINGS, LLC (NPI# 1881182475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881182475 |
| Entity Type | Organization |
| Organization Name | ROOTS TO WINGS, LLC |
| Practice Address |
106 E Ridgeville Blvd Ste 4 Mount Airy MD 21771-5248 |
| Mailing Address |
703 Park Ave Mount Airy MD 21771-5423 |
| Practice Telephone | 6628894264 |
| Mailing Telephone | 6628894264 |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2018-04-29 |
| Authorized Official Name | ANDRIA PALMER (OWNER/THERAPIST) |
| Authorized Official Telephone | 6628894264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
22113 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902173503 | Roots To Wings, LLC | Occupational Therapist | 2354 Field Stone Ct, Mendota Heights, MN 55120-1917 | 2011-11-27 |
| Street Address |
106 E RIDGEVILLE BLVD STE 4 |
| City | MOUNT AIRY |
| State | MD |
| Zip Code | 21771-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790208122 | Thompson Child Therapy | Counselor | 106 E Ridgeville Blvd Ste 4, Mount Airy, MD 21771-5232 | 2017-07-18 |
| 1861056574 | Marie Burgess | Counselor | 106 E Ridgeville Blvd Ste 4, Mount Airy, MD 21771-5248 | 2019-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
| 1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
| 1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
| 1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
| 1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
| 1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
| Find all providers in zip 21771 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282913 | Laurie Anne Mombay | Counselor | 6086 Yona Ct, Mount Airy, MD 21771-7446 | 2020-10-10 |
| 1790208122 | Thompson Child Therapy | Counselor | 106 E Ridgeville Blvd Ste 4, Mount Airy, MD 21771-5232 | 2017-07-18 |
| 1912054750 | Joan Dolores Hudson | Counselor | Area Services and Programs, 351 Riverside Drive, Mount Airy, NC 27030 | 2007-01-04 |
| 1194887695 | Easter Seals Ucp Nc & Va, Inc | Counselor | 414 W Lebanon St, Mount Airy, NC 27030-2954 | 2006-12-14 |
| 1497840037 | Carolina Child and Family Services, Inc. | Counselor | 787 E Pine St, Mount Airy, NC 27030-3933 | 2006-10-03 |
| 1477161461 | Hadassah Grace Link | Counselor | 18 Park Ave, Mount Airy, MD 21771-5438 | 2020-07-16 |
| 1134750003 | Kelly Jacobs | Counselor | 18 Park Ave, Mount Airy, MD 21771-5438 | 2020-01-30 |
| 1417509985 | Melody Denise Slawter | Counselor | 3615 Rockford St, Mount Airy, NC 27030-7847 | 2019-07-15 |
| 1437618626 | Vivian Whitlock France | Counselor | 130 Williamson Ave, Mount Airy, NC 27030-5156 | 2019-03-18 |
| 1881094175 | Tabatha Points | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2014-08-25 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 21771 |
Please comment or provide details below to improve the information on ROOTS TO WINGS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.