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General NPI Number Information
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NPI Number | 1609663855
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Entity Type | Organization
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Legal Business Name | ROOTED COUNSELING GROUP, LLC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 220 ROSSER AVE STE 3
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City | WAYNESBORO
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State | VA
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Zip | 22980-3560
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Country | US
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Telephone | 540-447-5207
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Fax | 540-447-5206
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Provider Business Mailing Address
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Address Line | 220 ROSSER AVE STE 3
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City | WAYNESBORO
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State | VA
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Zip | 22980-3560
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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 | CONTRACTING
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Name | ROOTED CREDENTIALING
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Credential |
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Telephone | 540-447-5207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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