# RESTORING ROOTS COUNSELING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760189609
- **Authorized official:** HEIDI TUCKER LMFT (MANAGER)
- **Authorized official phone:** (209) 769-5610

## Contact information

- **Practice address:** 9120 SANTAYANA DR, FAIRFAX, VA 22031-3062
- **Practice address phone:** (209) 769-5610
- **Mailing address:** 9120 SANTAYANA DR, FAIRFAX, VA 22031-3062
- **Mailing address phone:** (209) 769-5610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2023
- **Last updated:** 02/10/2023