Provider Demographics
NPI:1043914815
Name:ROOTS & WINGS MENTAL HEALTH CARE LLC
Entity type:Organization
Organization Name:ROOTS & WINGS MENTAL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARVINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-273-7064
Mailing Address - Street 1:2510 192ND PL SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-6974
Mailing Address - Country:US
Mailing Address - Phone:425-273-7064
Mailing Address - Fax:
Practice Address - Street 1:2510 192ND PL SE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-6974
Practice Address - Country:US
Practice Address - Phone:425-273-7064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty