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General NPI Number Information
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NPI Number | 1235859281
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Entity Type | Organization
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Legal Business Name | TAPROOT COUNSELING, LLC
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 2686 W OXFORD LOOP STE 125
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City | OXFORD
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State | MS
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Zip | 38655-5427
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Country | US
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Telephone | 662-450-6690
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Fax |
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Provider Business Mailing Address
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Address Line | 1561 FOWLER RD
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City | COURTLAND
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State | MS
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Zip | 38620-9172
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Country | US
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Telephone | 662-934-7559
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | ASHLEY F DICKEY
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Credential | LPC, BC-TMH, NCC
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Telephone | 662-450-6690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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