BACK 2 YOUR ROOTS PLLC NPI 1265355242

NPI Information

  • NPI: 1265355242
  • Provider Name: BACK 2 YOUR ROOTS, PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 546 STATION ST
    CLOVER, SC
    ZIP 29710
  • Phone: (704) 936-8113

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NPI Details

BACK 2 YOUR ROOTS, PLLC is a professional counselor in Clover, SC. BACK 2 YOUR ROOTS, PLLC NPI is 1265355242. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

546 STATION ST
CLOVER, SC
ZIP 29710-077
Phone: (704) 936-8113

The provider's authorized official is Tierra Kirkland .
The authorized official title is Founder/owner and has the following contact phone number (704) 936-8113.

The enumeration date for this NPI number is 8/4/2026 and was last updated on 8/4/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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