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General NPI Number Information
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NPI Number | 1659255875
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Entity Type | Organization
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Legal Business Name | ROOTED PATH COUNSELING PLLC
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 416 WILLOWSHIRE CT
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City | WAYNESBORO
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State | VA
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Zip | 22980-1876
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Country | US
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Telephone | 571-358-9550
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Fax |
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Provider Business Mailing Address
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Address Line | 416 WILLOWSHIRE CT
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City | WAYNESBORO
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State | VA
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Zip | 22980-1876
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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 | CAROLINE CRILLEY
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Credential | LPC
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Telephone | 540-294-2968
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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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