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General NPI Number Information
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NPI Number | 1134868573
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Entity Type | Organization
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Legal Business Name | HEALING ROOTS BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 16862 BECKWITH ST STE S
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City | FRENCHTOWN
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State | MT
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Zip | 59834-9001
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Country | US
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Telephone | 406-240-9284
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 725
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City | FRENCHTOWN
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State | MT
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Zip | 59834-0725
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Country | US
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Telephone | 406-240-9284
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JILLIAN HENDERSON
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Credential |
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Telephone | 406-240-9284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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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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