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General NPI Number Information
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NPI Number | 1457204265
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Entity Type | Organization
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Legal Business Name | HEALING ROOTS MENTAL HEALTH, LLC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 11353 GENE SARAZEN DR
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City | EL PASO
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State | TX
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Zip | 79936-4729
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Country | US
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Telephone | 915-329-2286
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Fax | 915-400-4299
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Provider Business Mailing Address
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Address Line | 11353 GENE SARAZEN DR
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City | EL PASO
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State | TX
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Zip | 79936-4729
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Country | US
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Telephone | 915-329-2286
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Fax | 915-400-4299
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Authorized Official
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Title or Position | CO-OWNER
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Name | ESLY ANEL DEMARTY
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Credential | QMHP-CS
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Telephone | 915-329-2286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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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