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NPI Code Detail

MEDICARE: ROOTS AND BRANCHES COUNSELING PLLC

MEDICARE: ROOTS AND BRANCHES COUNSELING PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1235065483
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROOTS AND BRANCHES COUNSELING PLLC
Provider Business Mailing Address
First Line : 108 DELLWOOD DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-8427
Country : US
Telephone Number : 803-381-6099
Fax Number :
Provider Business Practice Location Address
First Line : 3804 PARK AVE STE C
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6737
Country : US
Telephone Number : 252-902-6648
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CAROLYN ELIZABETH RAMSAY
Credential : LCMHCA
Telephone Number : 803-381-6099
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “ROOTS AND BRANCHES COUNSELING PLLC ” Practice Location

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