Healthcare Provider Details

I. General information

NPI: 1861241705
Provider Name (Legal Business Name): ROOTED THERAPY GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1977 HENDERSONVILLE RD STE 4
ASHEVILLE NC
28803-2199
US

IV. Provider business mailing address

1977 HENDERSONVILLE RD STE 4
ASHEVILLE NC
28803-2199
US

V. Phone/Fax

Practice location:
  • Phone: 828-585-4950
  • Fax: 828-212-9592
Mailing address:
  • Phone: 828-585-4950
  • Fax: 828-212-9592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS J PEACOCK
Title or Position: OWNER
Credential: LCMHC
Phone: 828-585-4950