# ROOTS & WINGS PSYCHOLOGICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154217537
- **Authorized official:** DR. TIFFANY ANNETTE RICH PHD (LICENSED PSYCHOEDUCATIONAL SPECIALI)
- **Authorized official phone:** (803) 767-4188

## Contact information

- **Practice address:** 710 WILDLIFE LN, COLUMBIA, SC 29209-3464
- **Practice address phone:** (803) 250-5579
- **Mailing address:** 961 ROBERTS BRANCH PKWY STE 106 \#102, COLUMBIA, SC 29203-9150
- **Mailing address phone:** (803) 767-4188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TS0200X | School Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2025
- **Last updated:** 06/13/2025