Organization Active NPI

Life Roots Detox Consulting Group LLC

  • Health & Wellness Coach
  • Willis, TX
National Provider Identifier
1811893175
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
LIFE ROOTS DETOX CONSULTING GROUP LLC
Practice address
14006 Tanning LN
Willis, TX 77378-2998
Phone
(832) 741-5540
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chere' Kraft, HEALTH & WELLNESS
Title
Consultant/PT Owner
Phone
(832) 741-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

14006 Tanning LN
Willis, TX 77378-2998

Mailing address

14006 Tanning LN
Willis, TX 77378-2998

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1811893175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14006 TANNING LN",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773782998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14006 TANNING LN",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773782998",
            "telephone_number": "832-741-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ROOTS DETOX CONSULTING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "CHERE'",
        "authorized_official_title_or_position": "CONSULTANT/PT OWNER",
        "authorized_official_telephone_number": "832-741-5540",
        "authorized_official_credential": "HEALTH & WELLNESS"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.