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General NPI Number Information
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NPI Number | 1912858135
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Entity Type | Organization
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Legal Business Name | HEALING ROOTS COUNSELING LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1789 E SKYLINE DR UNIT H6
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City | EAGLE MOUNTAIN
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State | UT
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Zip | 84005-6541
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Country | US
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Telephone | 385-246-3110
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Fax |
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Provider Business Mailing Address
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Address Line | 1789 E SKYLINE DR UNIT H6
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City | EAGLE MOUNTAIN
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State | UT
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Zip | 84005-6541
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Country | US
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Telephone | 385-246-3110
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | HANNAH OSTLER
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Credential | LCSW
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Telephone | 385-246-3110
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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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