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General NPI Number Information
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NPI Number | 1124904560
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Entity Type | Organization
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Legal Business Name | LG THERAPY, PLLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 321 E MAIN ST STE 312
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City | BOZEMAN
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State | MT
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Zip | 59715-4721
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Country | US
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Telephone | 406-729-4730
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Fax |
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Provider Business Mailing Address
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Address Line | 541 N BOZEMAN AVE
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City | BOZEMAN
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State | MT
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Zip | 59715-3664
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Country | US
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Telephone | 920-946-5334
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN GROVER
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Credential | LCPC
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Telephone | 406-729-4730
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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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