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General NPI Number Information
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NPI Number | 1104621085
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Entity Type | Organization
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Legal Business Name | ROOTS AND REFLECTIONS COUNSELING LLC
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Dates
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Enumeration Date | 02/15/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 209 W MAIN ST
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City | FLOYD
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State | VA
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Zip | 24091-3190
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Country | US
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Telephone | 540-529-8543
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Fax | 540-378-6044
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Provider Business Mailing Address
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Address Line | PO BOX 13
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City | FLOYD
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State | VA
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Zip | 24091-0013
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Country | US
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Telephone | 540-529-8543
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Fax | 540-378-6044
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARIA WEAVER
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Credential |
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Telephone | 540-529-8543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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