HEALING ROOTS THERAPY PLLC
NPI 1033794003
Clinic/Center - Adolescent and Children Mental Health in Charlotte, NC

NPI Status: Active since March 11, 2021

Contact Information

6815 OLDECASTLE CT
CHARLOTTE, NC
ZIP 28277
Phone: (980) 272-8561

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About HEALING ROOTS THERAPY PLLC

This page provides the complete NPI Profile along with additional information for Healing Roots Therapy Pllc, a provider established in Charlotte, North Carolina operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1033794003 assigned on March 2021. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Stephanie Wagner Lcsw (Owner/member)

NPI
1033794003
Provider Name
HEALING ROOTS THERAPY PLLC
Entity Type
Organization
Location Address
6815 OLDECASTLE CT CHARLOTTE, NC 28277
Location Phone
(980) 272-8561
Mailing Address
6815 OLDECASTLE CT CHARLOTTE, NC 28277
Mailing Phone
(980) 272-8561
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2021
Last Update Date
03-11-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHANIE WAGNER LCSW

Authorized Official Title
OWNER/MEMBER
Authorized Official Phone
(980) 272-8561

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033794003
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063149800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 4 + 9 + 8 + 0 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1033794003 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

HEALING ROOTS THERPY LLC

Clinic/Center

(Adolescent and Children Mental Health)

6815 OLDECASTLE CT
CHARLOTTE, NC
ZIP 28277

(980) 272-8561

STEPHANIE WAGNER LCSW, LISW-CP

Social Worker

(Clinical)

6815 OLDECASTLE CT
CHARLOTTE, NC
ZIP 28277

(980) 272-8561

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033794003, enumerated as an "organization" on March 11, 2021.

The provider is located at 6815 OLDECASTLE CT CHARLOTTE, NC 28277 and the phone number is (980) 272-8561.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.