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Organization
ENRICHED ROOTS PLLC
Active
Organization
ENRICHED ROOTS PLLC
Active
Other names
Enriched Roots
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DANIELA GONZALEZ LPCS LCDC ICADC SAP (OWNER/EMPLOYEE)
(956) 962-4198
Entity
Organization
Contact information
Practice address
6510 POLARIS DR STE 1, LAREDO, TX 78041-2054
(956) 962-4198
Mailing address
6510 POLARIS DR STE 1, LAREDO, TX 78041-2054
(956) 962-4198
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
03/13/2021
Last updated
03/08/2025
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