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General NPI Number Information
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NPI Number | 1164397873
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Entity Type | Organization
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Legal Business Name | BRIDGE2GROWTH COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 4717 LATOUR LN
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City | COLLEYVILLE
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State | TX
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Zip | 76034-1388
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Country | US
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Telephone | 682-597-4769
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Fax |
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Provider Business Mailing Address
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Address Line | 4717 LATOUR LN
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City | COLLEYVILLE
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State | TX
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Zip | 76034-1388
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Country | US
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Telephone | 682-597-4769
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | NEELA TRIVEDI
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Credential | LPC-ASSOCIATE
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Telephone | 682-597-4769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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