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General NPI Number Information
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NPI Number | 1003771692
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Entity Type | Organization
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Legal Business Name | ROOTED AND RISING COUNSELING PLLC
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 5121 BENTGRASS RUN DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-6129
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Country | US
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Telephone | 704-999-9488
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Fax |
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Provider Business Mailing Address
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Address Line | 5121 BENTGRASS RUN DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-6129
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Country | US
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Telephone | 704-999-9488
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Fax |
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Authorized Official
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Title or Position | CLINICAL MENTAL HEALTH COUNSELOR
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Name | BREANNA JULEEN KING
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Credential | LCMHC-A
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Telephone | 704-999-9488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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