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General NPI Number Information
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NPI Number | 1003761529
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Entity Type | Organization
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Legal Business Name | RESILIENT ROOTS COUNSELING LLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 3605 YUCCA DR STE 202
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2753
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Country | US
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Telephone | 682-593-1883
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Fax |
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Provider Business Mailing Address
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Address Line | 1724 CONIFER CT
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City | ARGYLE
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State | TX
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Zip | 76226-3180
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONIQUE VAN HOUTEN
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Credential |
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Telephone | 682-593-1883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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