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General NPI Number Information
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NPI Number | 1780519850
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Entity Type | Organization
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Legal Business Name | FROM THE ROOT CLINICAL SERVICES, LLC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 4440 TRIMBLE LN
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City | FAYETTEVILLE
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State | NC
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Zip | 28312-7704
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Country | US
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Telephone | 910-983-2038
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Fax | 910-946-6206
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Provider Business Mailing Address
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Address Line | 5075 MORGANTON RD STE 10C
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1534
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Country | US
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Telephone | 910-983-2038
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Fax | 910-946-6206
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Authorized Official
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Title or Position | OWNER
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Name | CELENA YVETTE TURNER
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Credential | LCSW-A
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Telephone | 910-983-2038
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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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