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Organization

ROOT INTEGRATIVE PSYCHIATRY

Active
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Organization

ROOT INTEGRATIVE PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA L BLAKE APRN (OWNER/PROVIDER)
(843) 816-5660
Entity
Organization

Contact information

Practice address
503 S MAIN ST, MAULDIN, SC 29662-2204
(864) 662-6840
Mailing address
507 DUNWOODY DR, SIMPSONVILLE, SC 29681-4430
(843) 816-5660
(864) 448-1720

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—

Other

Enumeration date
04/14/2025
Last updated
07/27/2026
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