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General NPI Number Information
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NPI Number | 1568315596
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Entity Type | Organization
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Legal Business Name | QUIET ROOTS THERAPY, PLLC
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 1245 E DAVIS AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-6129
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Country | US
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Telephone | 682-325-8052
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 S HULEN ST STE 124
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City | FORT WORTH
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State | TX
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Zip | 76109-1934
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Country | US
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Telephone | 682-325-8052
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASMINE THOMPSON
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Credential | LCSW
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Telephone | 682-325-8052
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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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