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General NPI Number Information
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NPI Number | 1093657116
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Entity Type | Organization
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Legal Business Name | RIVER AND ROOTS COUNSELING, LLC
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 2222 MONUMENT AVE
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City | RICHMOND
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State | VA
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Zip | 23220-2724
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Country | US
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Telephone | 843-964-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 3224 STUART AVE APT 12
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City | RICHMOND
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State | VA
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Zip | 23221-2356
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | SHAWN LAWRENCE
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Credential | MSW
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Telephone | 843-964-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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