Provider Demographics
NPI:1356215917
Name:ROOTS HERBAL HEALING
Entity type:Organization
Organization Name:ROOTS HERBAL HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHEVOY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MPH
Authorized Official - Phone:631-398-8127
Mailing Address - Street 1:28 SPRING ST UNIT 189
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08542-6901
Mailing Address - Country:US
Mailing Address - Phone:631-398-8127
Mailing Address - Fax:631-398-8127
Practice Address - Street 1:1624 13TH ST
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-2910
Practice Address - Country:US
Practice Address - Phone:631-398-8127
Practice Address - Fax:631-398-8127
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H&H TIMS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ31D2309035OtherCLIA