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General NPI Number Information
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NPI Number | 1164358768
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Entity Type | Organization
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Legal Business Name | ROOTED COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 5 W MOUNTAIN ST STE 301
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-6022
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Country | US
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Telephone | 479-684-9928
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 N BLUE MESA DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-9383
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Country | US
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Telephone | 479-684-9928
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | LINDSEY MASON
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Credential | LPC
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Telephone | 479-684-9928
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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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