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General NPI Number Information
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NPI Number | 1154046308
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Entity Type | Organization
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Legal Business Name | GROWING TOGETHER COUNSELING & HEALING LLC
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 710 N MAIN ST
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City | RIVER FALLS
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State | WI
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Zip | 54022-1574
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Country | US
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Telephone | 612-217-0798
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 CITY PLACE BLVD UNIT 2210
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City | WOODBURY
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State | MN
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Zip | 55125-5517
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEAH HOFFMAN
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Credential | LICSW
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Telephone | 608-769-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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