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Organization
ROOTS TO RESULTS COUNSELING, LLC.
Active
Organization
ROOTS TO RESULTS COUNSELING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LENISE BENZINA MAZYCK LCSW (OWNER)
(804) 787-3323
Entity
Organization
Contact information
Practice address
6001 LAKESIDE AVE STE 25, RICHMOND, VA 23228-5748
(804) 787-3323
Mailing address
6001 LAKESIDE AVE STE 25, RICHMOND, VA 23228-5748
(804) 787-3323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010177
VA
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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