Individual provider · Type 1 NPI

Tavis Connor Root, LPC

Mental Health Counselor · Spartanburg, SC

NPI number 1124854773 Active

Practice location

3211 Reidville Rd Ste C
Spartanburg, SC 29301-6120

Call (864) 278-0593 Map

Fax (864) 586-2300

Mailing address

200 Heywood Ave
Spartanburg, SC 29307-1706

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X10170 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1124854773

Tavis Connor Root, LPC's National Provider Identifier is 1124854773, issued on Sep 10, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spartanburg, SC. The record was last updated on Jun 16, 2025.