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General NPI Number Information
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NPI Number | 1144860958
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Entity Type | Organization
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Legal Business Name | BE STILL AND GROW COUNSELING LLC
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1755 LOCKHAVEN DR NE # 505
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City | KEIZER
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State | OR
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Zip | 97303-2071
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Country | US
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Telephone | 503-851-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 SHAFF RD STE 233
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City | STAYTON
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State | OR
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Zip | 97383-1092
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Country | US
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Telephone | 503-851-8585
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE HUSK
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Credential | LCSW
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Telephone | 503-851-8585
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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