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General NPI Number Information
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NPI Number | 1154237543
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Entity Type | Organization
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Legal Business Name | STRONG ROOTS COUNSELING & WELLNESS
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 3354 DREXEL RD
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City | MONTGOMERY
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State | AL
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Zip | 36106-3206
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Country | US
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Telephone | 334-220-6406
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Fax |
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Provider Business Mailing Address
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Address Line | 3358 DREXEL RD
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City | MONTGOMERY
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State | AL
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Zip | 36106
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Country | US
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Telephone | 334-220-6406
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/LPC
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Name | IZANDRA RUDOLPH-HEARD
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Credential |
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Telephone | 334-604-9527
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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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