Provider Demographics
NPI:1922995471
Name:THE R.O.O.T, LLC
Entity type:Organization
Organization Name:THE R.O.O.T, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KABRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, QMHP
Authorized Official - Phone:757-630-8503
Mailing Address - Street 1:101 EATON ST STE 308
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-4079
Mailing Address - Country:US
Mailing Address - Phone:757-630-8503
Mailing Address - Fax:
Practice Address - Street 1:101 EATON ST STE 308
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-4079
Practice Address - Country:US
Practice Address - Phone:757-630-8503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health