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NPI 1518760685

NPI 1518760685 : ROOT TO RISE THERAPY : MANKATO, MN

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General NPI Number Information
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    NPI Number           |    1518760685
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROOT TO RISE THERAPY 
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Dates
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    Enumeration Date     |    04/01/2025
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    Last Update Date     |    12/30/2025
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Provider Practice Location Address
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    Address Line         |    100 WARREN ST STE 329 
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    City                 |    MANKATO
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    State                |    MN
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    Zip                  |    56001-3762
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    Country              |    US
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    Telephone            |    507-575-4312
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    100 WARREN ST STE 329 
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    City                 |    MANKATO
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    State                |    MN
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    Zip                  |    56001-3762
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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/THERAPIST
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    Name                 |     LINDSEY CATHERINE VETTER 
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    Credential           |    LPCC
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    Telephone            |    507-575-4312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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