MRS. JESSICA DIANE ROOT LPCA NPI 1013249846

NPI Information

NPI: 1013249846
Provider Name: MRS. JESSICA DIANE ROOT, LPCA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
306 CORDER RD
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 971-4684
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MRS. Jessica Diane Root, LPCA is a mental health counselor in Warner Robins, GA. MRS. Jessica Diane Root, LPCA NPI is 1013249846. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

306 CORDER RD
WARNER ROBINS, GA
ZIP 31088-647
Phone: (478) 971-4684

The enumeration date for this NPI number is 2/4/2010 and was last updated on 9/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC006368	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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