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General NPI Number Information
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NPI Number | 1134998305
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Entity Type | Organization
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Legal Business Name | GROWING GRACEFULLY COUNSELING AND CONSULTING, PLLC
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 57 UNION ST S # 1034
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City | CONCORD
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State | NC
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Zip | 28025-5009
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Country | US
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Telephone | 980-285-2993
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 SILVERBELL LN NW APT 3210
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City | CONCORD
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State | NC
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Zip | 28027-3744
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Country | US
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Telephone | 803-429-0300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALEEA SUTTON
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Credential | FNP-C, PMHNP-BC
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Telephone | 980-285-2993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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