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General NPI Number Information
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NPI Number | 1164393351
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Entity Type | Organization
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Legal Business Name | ROOTS AND STREAM COUNSELING LLC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 5 W MENDENHALL ST STE 207
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City | BOZEMAN
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State | MT
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Zip | 59715-3565
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Country | US
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Telephone | 406-212-5268
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Fax |
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Provider Business Mailing Address
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Address Line | 23 PRAIRIE GRASS CT APT A
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City | BOZEMAN
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State | MT
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Zip | 59718-8406
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Country | US
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Telephone | 406-212-5268
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH LANGLEY
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Credential | LCSW
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Telephone | 406-212-5268
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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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