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General NPI Number Information
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NPI Number | 1124995154
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Entity Type | Organization
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Legal Business Name | RIPPLE & ROOT THERAPY LLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 106 N FRENCH ST
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-5690
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Country | US
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Telephone | 410-952-5139
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Fax |
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Provider Business Mailing Address
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Address Line | 455 FLORADORA DR
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-8739
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Country | US
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Telephone | 410-952-5139
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CASEY DONOHOE
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Credential | LCSW LAC
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Telephone | 410-952-5139
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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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