Healthcare Provider Details

I. General information

NPI: 1972440287
Provider Name (Legal Business Name): DISCOVERING THE ROOTS COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 TERRELL LN
CLINTON NC
28328-1515
US

IV. Provider business mailing address

129 TERRELL LN
CLINTON NC
28328-1515
US

V. Phone/Fax

Practice location:
  • Phone: 910-379-3795
  • Fax:
Mailing address:
  • Phone: 910-379-3795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHRIENE RIVERA
Title or Position: CLINICAL MENTAL HEALTH COUNSELOR
Credential: LCMHC, NCC
Phone: 910-379-5529