Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nourished Roots Therapy Services

Organization Lactation Consultant (Non-RN) · NPI 1699551101

Nourished Roots Therapy Services is a Lactation Consultant (Non-RN) in Southern Pines, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

1271 Old US 1 Hwy Unit B
Southern Pines, NC 28387-6308
Phone: (910) 310-9479
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Lactation Consultant (Non-RN) Taxonomy 174N00000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1699551101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jena Southerland — Speech- Language Pathologist · (910) 310-9479
NPI enumeratedAugust 31, 2023
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address1271 Old Us 1 Hwy Unit B, Southern Pines, NC 28387-6308