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General NPI Number Information
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NPI Number | 1902711773
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Entity Type | Organization
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Legal Business Name | ROOTED HOPE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 145 PINE HAVEN SHORES RD STE 1000A
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City | SHELBURNE
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State | VT
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Zip | 05482-7812
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Country | US
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Telephone | 802-215-9915
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Fax |
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Provider Business Mailing Address
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Address Line | 441 MAPLE ST APT A
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City | BURLINGTON
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State | VT
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Zip | 05401-3924
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Country | US
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Telephone | 703-966-9375
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Fax |
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Authorized Official
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Title or Position | LICSW
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Name | ELIZABETH LEONARD
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Credential | LICSW
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Telephone | 703-966-9375
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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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