Active NPI
Healing Roots Curando Raices LLC
- Marriage & Family Therapist
- Fortuna, CA
National Provider Identifier
1730933995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- HEALING ROOTS CURANDO RAICES LLC
- Practice address
- 3000 Newburg Rd Ste B
Fortuna, CA 95540-2599 - Phone
- (510) 717-3266
- NPI assigned
- Apr 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle N Ulloa, LMFT
- Title
- Owner
- Phone
- (510) 717-3266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
3000 Newburg Rd Ste B
Fortuna, CA 95540-2599
Mailing address
3000 Newburg Rd Ste B
Fortuna, CA 95540-2599
Phone (510) 717-3266
National Provider Directory
National Provider DirectoryLocations
3000 Newburg Rd
Ste B
Fortuna, CA 95540
Phone (510) 717-3266
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Fortuna, CA
- NPI 1508463829
-
- Clinical Social Worker
- Arcata, CA
- NPI 1245715846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1730933995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 NEWBURG RD STE B",
"city": "FORTUNA",
"state": "CA",
"postal_code": "955402599",
"telephone_number": "510-717-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NEWBURG RD STE B",
"city": "FORTUNA",
"state": "CA",
"postal_code": "955402599",
"telephone_number": "510-717-3266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING ROOTS CURANDO RAICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-15",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "ULLOA",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-717-3266",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fortuna, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.