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General NPI Number Information
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NPI Number | 1649001553
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Entity Type | Organization
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Legal Business Name | GUIDING ROOTS, LLC.
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 662 N MAIN ST
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City | GREENSBURG
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State | PA
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Zip | 15601-1695
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Country | US
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Telephone | 724-261-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 162 CREST VIEW DR
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City | GREENSBURG
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State | PA
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Zip | 15601-1414
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Country | US
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Telephone | 724-261-8600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHAEL LUKON
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Credential | BCBA
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Telephone | 724-261-8600
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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