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Organization
STAY ROOTED COUNSELING SERVICES, LLC
Active
Organization
STAY ROOTED COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON PENA LCSW (LICENSED CLINICAL SOCIAL WORKER)
(321) 345-8061
Entity
Organization
Contact information
Practice address
910 BEACON ST NW, PALM BAY, FL 32907-7835
(321) 345-8061
Mailing address
3701 ASHBROOK DR NW APT 405, WILSON, NC 27896-7623
(321) 334-7417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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