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General NPI Number Information
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NPI Number | 1003608555
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Entity Type | Organization
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Legal Business Name | GROWTH MINDSET COUNSELING
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 2972 ALLEGRA WAY
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City | LUTZ
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State | FL
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Zip | 33559-6998
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Country | US
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Telephone | 272-652-8037
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Fax |
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Provider Business Mailing Address
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Address Line | 1603 HAVEN BND
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City | TAMPA
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State | FL
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Zip | 33613-1139
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Country | US
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Telephone | 813-853-3134
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Fax |
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Authorized Official
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Title or Position | RMHCI
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Name | MRS. TINA TRAVER
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Credential | IMH
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Telephone | 727-265-2803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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