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General NPI Number Information
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NPI Number | 1255291373
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Entity Type | Organization
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Legal Business Name | ROOTS TO WELLNESS, PLLC
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 7B CORPORATE CENTER CT
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City | GREENSBORO
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State | NC
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Zip | 27408-3839
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Country | US
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Telephone | 336-502-5107
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Fax |
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Provider Business Mailing Address
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Address Line | 701 GREEN VALLEY RD STE 100
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City | GREENSBORO
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State | NC
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Zip | 27408-7096
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LCMHC,CCTP
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Name | ALANDRIA HUNTER
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Credential |
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Telephone | 336-502-5107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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