Back 2 Your Roots, PLLC

Organization Active NPI Professional Counselor · Clover, SC

NPI 1265355242 · NPPES record last updated Aug 4, 2026

Key facts

NPI
1265355242
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
BACK 2 YOUR ROOTS, PLLC
Practice address
546 Station St
Clover, SC 29710-4077
Phone
(704) 936-8113
NPI assigned
Aug 4, 2026
Organization subpart
No

Authorized official

Name
Tierra Kirkland, LCMHCS, LPCS
Title
Founder/Owner
Phone
(704) 936-8113

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

301 S McDowell St
Ste 1252517
Charlotte, NC 28204

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

546 Station St
Clover, SC 29710-4077

Mailing address

301 S McDowell St Ste 125-2517
Charlotte, NC 28204-2623
Phone (704) 936-8113

Other providers in Clover, SC

All providers in Clover, SC · Professional Counselor in South Carolina

Sources for this page

Verify at the official NPI Registry.