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Organization
HEALING ROOTS MENTAL HEALTH FAMILY SERVICES LLC
Active
Organization
HEALING ROOTS MENTAL HEALTH FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO SAMUEL SOSA SANTOS LMHC (OWNER)
(301) 310-1325
Entity
Organization
Contact information
Practice address
4873 PALM COAST PKWY NW UNIT 2, PALM COAST, FL 32137-3669
(301) 310-1325
Mailing address
4873 PALM COAST PKWY NW UNIT 2, PALM COAST, FL 32137-3669
(301) 310-1325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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