Habitual Roots Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HABITUAL ROOTS INC.

Practice address

1348 Green Oaks LN Apt N
Charlotte, NC 28205-8334

Phone

(336) 971-1719

NPI assigned

Aug 30, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Justin Ervin

Title

Executive Director / Founder

Phone

(336) 971-1719

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1801671573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189017",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282189017",
            "telephone_number": "844-355-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 GREEN OAKS LN APT N",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282058334",
            "telephone_number": "336-971-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABITUAL ROOTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR / FOUNDER",
        "authorized_official_telephone_number": "336-971-1719",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Jenkins Haberle, MD, MPH
• Sinisa Haberle, M.D.
• Lindsey Joy Haberman, FNP-C
• Thomas K Habib
• Carlee Collmus Habicht, MS, RD, LDN
• Kathleen Lucey Hack, MA
• Monica Hackett, LPC
• Meredith Hackley
• Lily Hackman, MSW
• Jeremy Michael Hackworth, M.D.

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.