Roots Of Purpose LLC
Community/Behavioral Health in Deridder, LA. Organization (NPI-2).
NPI number1184535239
StatusActive
Last updated in NPPESSep 22, 2026
Details
- NPI
- 1184535239
- Entity type
- Organization (NPI-2)
- Legal business name
- Roots Of Purpose LLC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2026
- Certification date
- Sep 22, 2026
- Last updated
- Sep 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
430 Milton Reid RdDeridder, LA 70634-8142
Phone 512-789-2889
Mailing address
1401 Lavaca St # 366Austin, TX 78701-1634
Phone 512-789-2833
Authorized official
Kacee Kieth Jackson
Ceo
5127892889
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