Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grounded Roots Therapy PLLC

Organization Clinical Social Worker · NPI 1316516784

Grounded Roots Therapy PLLC provides Clinical Social Worker services in Charlotte, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11845 Guildhall Ln
Charlotte, NC 28213-3890
Phone: (336) 965-8641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1316516784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominique Edouard — Member/Organizer · (336) 965-8641
NPI enumeratedJune 21, 2021
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021
Mailing address11845 Guildhall Ln, Charlotte, NC 28213-3890

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