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Organization
INNER ROOTS BEHAVIORAL HEALTH PLLC
Active
Organization
INNER ROOTS BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI LEE DAVENPORT PMHNP-BC, FNP-C, DNP (OWNER & MANAGING MEMBER)
(931) 242-9298
Entity
Organization
Contact information
Practice address
123 N MAIN ST STE 107, LORETTO, TN 38469-2356
(931) 223-6659
Mailing address
123 N MAIN ST STE 107, LORETTO, TN 38469-2356
(931) 223-6659
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
03/10/2026
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