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General NPI Number Information
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NPI Number | 1700604931
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Entity Type | Organization
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Legal Business Name | UNROOTED COUNSELING LLC
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Dates
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Enumeration Date | 09/27/2024
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 211 N 1ST ST STE 335
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-2800
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Country | US
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Telephone | 971-220-2127
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Fax | 844-605-1865
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Provider Business Mailing Address
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Address Line | 333 WASHINGTON AVE N STE 335
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-1366
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Country | US
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Telephone | 971-220-2127
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Fax | 844-605-1865
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Authorized Official
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Title or Position | OWNER
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Name | KENDRA SPIELMAN
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Credential | MSW, LICSW
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Telephone | 971-220-2127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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