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General NPI Number Information
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NPI Number | 1225992159
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Entity Type | Organization
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Legal Business Name | RESILIENT ROOTS COUNSELING LLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 2303 WYCLIFF ST STE 366
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City | SAINT PAUL
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State | MN
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Zip | 55114-1272
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Country | US
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Telephone | 612-404-2426
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Fax |
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Provider Business Mailing Address
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Address Line | 3314 E 32ND ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-2007
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Country | US
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Telephone | 612-404-2426
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. PATRICIA KATHLEEN WILSON MURRAY
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Credential | PSY.D., L.P.
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Telephone | 612-404-2426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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