OrganizationActive
Fresh Roots, Inc.
NPI 1053479634 · Marriage & Family Therapist · Rogers, AR
Provider details
- NPI number
- 1053479634
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dell Tyson, Co-Director(479) 986-8655
- License
- P9201002 (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
318 W Poplar St
Rogers, AR 72756-4559
Phone: (479) 986-8655
Fax: (479) 633-9398
Approximate (ZIP-level) locationGet directions
Mailing address
318 W Poplar St
Rogers, AR 72756-4559
Other names (DBA / former)
- Doing business as
- Fresh Roots Family Counseling
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.