# DEEPLY ROOTED WELLNESS AND COUNSELING

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

## Provider details

- **NPI number:** 1942848130
- **Authorized official:** JULIE A CUMMINS LMHC (OWNER)
- **Authorized official phone:** (978) 758-2565

## Contact information

- **Practice address:** 24 GATES XING, LEOMINSTER, MA 01453-5253
- **Practice address phone:** (978) 758-2565
- **Mailing address:** 24 GATES XING, LEOMINSTER, MA 01453-5253
- **Mailing address phone:** (978) 758-2565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |

## Other

- **Enumeration date:** 12/18/2019
- **Last updated:** 12/18/2019
