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General NPI Number Information
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NPI Number | 1013832237
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Entity Type | Organization
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Legal Business Name | ROOTED & RESTORED COUNSELING LLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 1128 EDGINGTON AVE
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City | ELDORA
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State | IA
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Zip | 50627-1737
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Country | US
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Telephone | 641-751-2805
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Fax |
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Provider Business Mailing Address
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Address Line | 1128 EDGINGTON AVE
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City | ELDORA
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State | IA
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Zip | 50627-1737
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Country | US
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Telephone | 641-751-2805
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTINA DEMPSTER
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Credential | LMHC
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Telephone | 641-751-2805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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