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General NPI Number Information
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NPI Number | 1013806181
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Entity Type | Organization
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Legal Business Name | GRACE & GROWTH, LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 58 PARKWAY COMMONS WAY
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City | GREER
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State | SC
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Zip | 29650-5213
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Country | US
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Telephone | 949-228-9658
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Fax |
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Provider Business Mailing Address
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Address Line | 275 FENWICK DR
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City | WOODRUFF
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State | SC
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Zip | 29388-8046
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Country | US
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Telephone | 949-228-9658
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Fax |
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Authorized Official
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Title or Position | OWNER/ FOUNDER
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Name | KEVIN LUANGRATH
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Credential | LMFT
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Telephone | 949-228-9658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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