SOUTHERN ROOTS THERAPEUTIC SERVICES LLC
NPI 1851155014
Counselor - Professional in Williamsburg, KY

Active since February 08, 2024
74 FALIN LN, WILLIAMSBURG, KY 40769(606) 304-7994 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Southern Roots Therapeutic Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ROOTS THERAPEUTIC SERVICES LLC (NPI 1851155014) is a healthcare organization registered as a professional in Williamsburg, Kentucky and active in the NPI registry since February 2024. The organization lists Melissa Hansford, Owner, as its authorized official.

NPPES Registry Identity

NPI1851155014
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSOUTHERN ROOTS THERAPEUTIC SERVICES LLC
Location Address74 FALIN LNWilliamsburg, KY 40769-1791
Mailing Address74 Falin LnWilliamsburg, KY 40769-1791 · (606) 304-7994
Organization SubpartNo
Authorized OfficialMelissa HansfordOwner · (606) 304-7994
Enumeration DateFebruary 8, 2024
NPPES CertifiedFebruary 8, 2024
NPI 1851155014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
74 FALIN LN, Williamsburg, KY 40769

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Roots Therapeutic Services LLC's NPI number?

The NPI number for Southern Roots Therapeutic Services LLC is 1851155014. It was assigned to this organization in the NPPES registry on February 8, 2024.

Where is Southern Roots Therapeutic Services LLC located?

Southern Roots Therapeutic Services LLC is located at 74 Falin Ln, Williamsburg, KY 40769. The listed phone number is (606) 304-7994.

What is Southern Roots Therapeutic Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Southern Roots Therapeutic Services LLC was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.