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General NPI Number Information
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NPI Number | 1144942020
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Entity Type | Organization
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Legal Business Name | GROWING THROUGH IT THERAPY, PC
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 6295 N ELMS RD
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City | FLUSHING
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State | MI
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Zip | 48433-9002
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Country | US
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Telephone | 810-955-2093
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Fax | 810-309-8833
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Provider Business Mailing Address
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Address Line | 2169 W VIENNA RD STE 162
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City | CLIO
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State | MI
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Zip | 48420-1757
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Country | US
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Telephone | 810-243-2660
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Fax | 810-309-8833
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SAMANTHA MARIE MCCULLOUGH
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Credential | LMSW-CLINICAL
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Telephone | 810-955-2093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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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