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General NPI Number Information
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NPI Number | 1982570206
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Entity Type | Organization
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Legal Business Name | AT THE ROOT THERAPY AND CONSULTING, PLLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 3817 HEARTHSIDE LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-1626
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Country | US
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Telephone | 757-255-8036
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Fax |
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Provider Business Mailing Address
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Address Line | 3817 HEARTHSIDE LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-1626
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ALYSSA HARTMAN
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Credential |
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Telephone | 209-670-6096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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