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General NPI Number Information
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NPI Number | 1568314946
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Entity Type | Organization
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Legal Business Name | NEW ROOTS
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 2435 KIMBERLY RD STE 100N
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City | BETTENDORF
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State | IA
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Zip | 52722-3511
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Country | US
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Telephone | 309-236-1336
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Fax | 309-236-1336
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Provider Business Mailing Address
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Address Line | 2435 KIMBERLY RD STE 100N
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City | BETTENDORF
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State | IA
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Zip | 52722-3511
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Country | US
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Telephone | 309-236-1336
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Fax | 309-236-1336
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MRS. LAUREN A. ISAACSON
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Credential | LMHC
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Telephone | 309-236-1336
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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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