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General NPI Number Information
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NPI Number | 1083557227
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Entity Type | Organization
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Legal Business Name | ROOT AND BLOOM THERAPY, LLC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 337 HIWOOD AVE
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City | MUNROE FALLS
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State | OH
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Zip | 44262-1246
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Country | US
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Telephone | 330-697-9273
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Fax | 234-678-4970
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Provider Business Mailing Address
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Address Line | 337 HIWOOD AVE
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City | MUNROE FALLS
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State | OH
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Zip | 44262-1246
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Country | US
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Telephone | 330-697-9273
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Fax | 234-678-4970
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Authorized Official
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Title or Position | OWNER
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Name | JORDAN BREEDLOVE
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Credential | LPCC-S
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Telephone | 330-697-9273
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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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