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General NPI Number Information
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NPI Number | 1164327458
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Entity Type | Organization
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Legal Business Name | GRACEFUL GROWTH AND HEALING THERAPY
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 1717 S RUSTLE ST STE 106
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City | SPOKANE
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State | WA
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Zip | 99224-2065
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Country | US
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Telephone | 509-795-0190
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 S RUSTLE ST STE 106
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City | SPOKANE
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State | WA
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Zip | 99224-2065
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Country | US
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Telephone | 509-795-0190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN GOLIGOSKI
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Credential |
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Telephone | 509-795-0190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NULL
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