# HEALING ROOTS BEHAVIORAL HEALTH CENTER, LLC

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

## Provider details

- **NPI number:** 1336697499
- **Authorized official:** MRS. SHERIE R. CORBETT MSW ,LISW-CP (THERAPIST/OWNER)
- **Authorized official phone:** (843) 695-8865

## Contact information

- **Practice address:** 200 W. 5TH NORTH STREET, SUITE C, HEALING ROOTS BEHAVIORAL HEALTH CENTER, LLC, SUMMERVILLE, SC 29483-6618
- **Practice address phone:** (843) 695-8865
- **Practice address fax:** (843) 695-8517
- **Mailing address:** 200 W. 5TH NORTH STREET, SUITE C, HEALING ROOTS BEHAVIORAL HEALTH CENTER, LLC, SUMMERVILLE, SC 29483-6618
- **Mailing address phone:** (843) 695-8865
- **Mailing address fax:** (843) 695-8517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 8883 | SC | Yes |

## Other

- **Enumeration date:** 09/19/2016
- **Last updated:** 12/27/2017