| Roots Psychiatry & Wellness | |
|
4609 Charlotte Hwy Ste 3 Lake Wylie SC 29710-8025 | |
| (803) 373-2598 | |
| (866) 884-5371 |
| Full Name | Roots Psychiatry & Wellness |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 4609 Charlotte Hwy Ste 3, Lake Wylie, South Carolina |
| Authorized Official Name and Position | Beth Wilson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8036758227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Psychiatry & Wellness 4609 Charlotte Hwy Ste 3 Lake Wylie SC 29710-8025 Ph: (803) 373-2598 | Roots Psychiatry & Wellness 4609 Charlotte Hwy Ste 3 Lake Wylie SC 29710-8025 Ph: (803) 373-2598 |
| NPI Number | 1841170842 |
|---|---|
| Provider Enumeration Date | 09/03/2025 |
| Last Update Date | 09/03/2025 |
| Certification Date | 09/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841170842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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