MEDICARE: ROOTS TO WELLNESS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1255291373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOTS TO WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	701 GREEN VALLEY RD STE 100
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27408-7096
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 CORPORATE CENTER CT STE B
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27408-3839
Country	:	US
Telephone Number	:	336-502-5107
Fax Number	:

Authorized Official
Title or Position	:	LCMHC,CCTP
Name	:	ALANDRIA HUNTER
Credential	:
Telephone Number	:	336-502-5107

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	02/21/2026

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