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General NPI Number Information
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NPI Number | 1740144351
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Entity Type | Organization
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Legal Business Name | HARMONY ROOTS THERAPY, PLLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 4051 GOUVERNEUR STREET
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City | MEMPHIS
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State | TN
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Zip | 38135
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Country | US
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Telephone | 901-403-0785
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Fax |
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Provider Business Mailing Address
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Address Line | 2298 YOUNG AVE UNIT 378
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City | MEMPHIS
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State | TN
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Zip | 38104-5755
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Country | US
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Telephone | 901-403-0785
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHASITY J. DEAL
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Credential | LICSW, MSW, MPH
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Telephone | 901-403-0785
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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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