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General NPI Number Information
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NPI Number | 1871447763
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Entity Type | Organization
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Legal Business Name | ROOTED AND RISING PSYCHOTHERAPY GROUP
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 1300 PRINCE RODGERS AVE STE 1330
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2020
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Country | US
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Telephone | 732-508-7244
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Fax |
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Provider Business Mailing Address
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Address Line | 50 BIRCHVIEW DR
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City | PISCATAWAY
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State | NJ
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Zip | 08854-3531
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Country | US
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Telephone | 848-828-0678
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | JAMIE REILLY
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Credential | LPC
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Telephone | 848-828-0678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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