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General NPI Number Information
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NPI Number | 1083550305
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Entity Type | Organization
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Legal Business Name | ROOTED SPACE THERAPY LLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 1805 CHANTILLY ST STE 125
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City | RICHMOND
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State | VA
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Zip | 23230-3501
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Country | US
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Telephone | 325-227-3938
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Fax |
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Provider Business Mailing Address
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Address Line | 603 N 26TH ST APT 2
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City | RICHMOND
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State | VA
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Zip | 23223-6545
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Country | US
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Telephone | 325-227-3938
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Fax |
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Authorized Official
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Title or Position | OWNER AND CLINICIAN
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Name | MORGAN SAWYER
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Credential | LPC
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Telephone | 325-227-3938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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