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General NPI Number Information
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NPI Number | 1609675479
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Entity Type | Organization
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Legal Business Name | ROOTED IN THERAPY, LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 4403 VINELAND RD STE B
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City | ORLANDO
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State | FL
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Zip | 32811-7180
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Country | US
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Telephone | 407-796-1871
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Fax |
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Provider Business Mailing Address
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Address Line | 401 N MILLS AVE STE B
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City | ORLANDO
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State | FL
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Zip | 32803-5735
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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
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Name | EVANGJELIA ZYLYFTARI
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Credential | LCSW
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Telephone | 407-307-9719
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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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