Provider Demographics
NPI:1548134471
Name:TRUE ROOTS: GROWTH FOR WELLNESS, PLLC.
Entity type:Organization
Organization Name:TRUE ROOTS: GROWTH FOR WELLNESS, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:SMITH-SHOEMO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-883-7198
Mailing Address - Street 1:2326 BRISTLEGRASS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4548
Mailing Address - Country:US
Mailing Address - Phone:210-883-7198
Mailing Address - Fax:
Practice Address - Street 1:2326 BRISTLEGRASS DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4548
Practice Address - Country:US
Practice Address - Phone:210-883-7198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty