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General NPI Number Information
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NPI Number | 1215848874
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Entity Type | Organization
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Legal Business Name | GROUND & GROW COUNSELING LLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 218 N 2ND ST
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City | ELDRIDGE
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State | IA
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Zip | 52748-1208
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Country | US
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Telephone | 563-265-1036
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Fax |
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Provider Business Mailing Address
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Address Line | 321 E FLAGG ST
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City | WALCOTT
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State | IA
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Zip | 52773-7739
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Country | US
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Telephone | 563-676-5854
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | COURTNEY DAVISON
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Credential | LMHC, LCPC
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Telephone | 563-265-1036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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