Healthcare Provider Details

I. General information

NPI: 1750204681
Provider Name (Legal Business Name): ROOT THEN RISE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1846 WOODARDS DAIRY RD
MIDDLESEX NC
27557-9159
US

IV. Provider business mailing address

1846 WOODARDS DAIRY RD
MIDDLESEX NC
27557-9159
US

V. Phone/Fax

Practice location:
  • Phone: 919-205-9721
  • Fax:
Mailing address:
  • Phone: 919-205-9721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARIA M GARCIA HAWLEY
Title or Position: MEMBER/ORGANIZER
Credential: MS, LCMHCA, LCASA
Phone: 919-205-9721