Provider Demographics
NPI:1235859281
Name:TAPROOT COUNSELING, LLC
Entity Type:Organization
Organization Name:TAPROOT COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:F
Authorized Official - Last Name:DICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, BC-TMH, NCC
Authorized Official - Phone:662-450-6690
Mailing Address - Street 1:1561 FOWLER RD
Mailing Address - Street 2:
Mailing Address - City:COURTLAND
Mailing Address - State:MS
Mailing Address - Zip Code:38620-9172
Mailing Address - Country:US
Mailing Address - Phone:662-934-7559
Mailing Address - Fax:
Practice Address - Street 1:2686 W OXFORD LOOP STE 125
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5427
Practice Address - Country:US
Practice Address - Phone:662-450-6690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health