Organization
ROOT LEVEL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXIE LYNN RICHARD II LPC (OWNER/OPERATOR)
(706) 210-2767
Entity
Organization
Contact information
Practice address
2826 HILLCREEK DR, AUGUSTA, GA 30909-5628
(706) 210-2767
Mailing address
2826 HILLCREEK DR, AUGUSTA, GA 30909-5628
(706) 210-2767
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/21/2025
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