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

Southern Roots Therapeutic Services LLC

Organization Professional Counselor · NPI 1851155014

Southern Roots Therapeutic Services LLC is a Professional Counselor in Williamsburg, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

74 Falin Ln
Williamsburg, KY 40769-1791
Phone: (606) 304-7994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1851155014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Hansford — Owner · (606) 304-7994
NPI enumeratedFebruary 8, 2024
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing address74 Falin Ln, Williamsburg, KY 40769-1791

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