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General NPI Number Information
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NPI Number | 1659230365
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Entity Type | Organization
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Legal Business Name | ROOTS AND RESILIENCE WELLNESS
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 300 SHIPWRIGHT LOOP
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-9229
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Country | US
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Telephone | 804-404-3413
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Fax |
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Provider Business Mailing Address
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Address Line | 6841 FOREST HILL AVE # 1055
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City | RICHMOND
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State | VA
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Zip | 23225-1603
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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 | CEO
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Name | BRIANA WILLIAMS
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Credential | PH.D., LCP
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Telephone | 804-404-3413
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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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Taxonomy #2
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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