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General NPI Number Information
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NPI Number | 1063302669
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Entity Type | Organization
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Legal Business Name | HEALING ROOTS CLINICAL COUNSELING
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 215 S CEDAR ST
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City | KALKASKA
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State | MI
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Zip | 49646-8058
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Country | US
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Telephone | 231-492-0575
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Fax |
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Provider Business Mailing Address
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Address Line | 1522 PENINSULA DR
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-1956
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Country | US
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Telephone | 972-832-7724
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Fax |
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Authorized Official
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Title or Position | COUNSELOR / OWNER
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Name | LEANNE MCAFEE
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Credential | LPC
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Telephone | 972-832-7724
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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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