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General NPI Number Information
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NPI Number | 1396689402
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Entity Type | Organization
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Legal Business Name | ROOTED IN GRACE COUNSELING PLLC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 102 W GROVE ST
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City | KAUFMAN
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State | TX
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Zip | 75142-2033
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Country | US
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Telephone | 325-244-7040
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Fax |
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Provider Business Mailing Address
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Address Line | 4307 PAXTON DR
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City | FORNEY
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State | TX
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Zip | 75126-3090
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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 | OWNER, PSYCHOTHERAPIST
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Name | MARY COOPER
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Credential | LCSW
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Telephone | 469-879-8711
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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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