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General NPI Number Information
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NPI Number | 1770490088
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Entity Type | Organization
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Legal Business Name | ROOT & RESTORE PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 9025 W SH 29 STE 207
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City | LIBERTY HILL
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State | TX
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Zip | 78642-2855
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Country | US
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Telephone | 512-763-2917
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Fax |
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Provider Business Mailing Address
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Address Line | 667 PHEASANT HILL LN
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City | GEORGETOWN
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State | TX
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Zip | 78628-2954
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Country | US
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Telephone | 512-763-2917
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATE MARIE MORALES SARRAGA
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Credential | LPA-IP
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Telephone | 737-245-3153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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