MEDICARE: ROOTS AND RESILIENCE WELLNESS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	103TP2701X	Group Psychotherapy Psychologist
3	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1659230365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOTS AND RESILIENCE WELLNESS

Provider Business Mailing Address
First Line	:	6841 FOREST HILL AVE # 1055
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 SHIPWRIGHT LOOP
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-9229
Country	:	US
Telephone Number	:	804-404-3413
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRIANA WILLIAMS
Credential	:	PH.D., LCP
Telephone Number	:	804-404-3413

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ROOTS AND RESILIENCE WELLNESS ” Practice Location

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