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General NPI Number Information
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NPI Number | 1184269144
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Entity Type | Organization
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Legal Business Name | GRA THERAPY SOLUTIONS, LLC
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 4601 SHERIDAN ST STE 400
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3435
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Country | US
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Telephone | 954-737-3957
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Fax | 954-281-4525
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Provider Business Mailing Address
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Address Line | 3418 OTTAWA LN
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City | HOLLYWOOD
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State | FL
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Zip | 33026-4616
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Country | US
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Telephone | 754-216-9883
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY REID ADELSTEIN
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Credential | PSY.D, LMHC
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Telephone | 754-216-9883
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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 | 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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