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
106 W GEORGIA RD, SIMPSONVILLE, SC 29681-2302
(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
04/14/2025
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