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General NPI Number Information
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NPI Number | 1407795693
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Entity Type | Organization
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Legal Business Name | ROOTED COUNSELING LLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 417 W CANAL ST
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City | PICAYUNE
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State | MS
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Zip | 39466-3951
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Country | US
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Telephone | 601-749-9477
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Fax |
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Provider Business Mailing Address
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Address Line | 316 THIRD AVE
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City | PICAYUNE
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State | MS
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Zip | 39466-2554
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Country | US
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Telephone | 601-749-9477
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEAH BELL
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Credential |
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Telephone | 601-749-9477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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