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NPI 1235945957

NPI 1235945957 : IAMWHEREIGROW, LLC : ROCKLEDGE, FL

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General NPI Number Information
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    NPI Number           |    1235945957
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    Entity Type          |    Organization 
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    Legal Business Name  |    IAMWHEREIGROW, LLC 
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Dates
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    Enumeration Date     |    12/06/2024
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    Last Update Date     |    10/18/2025
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Provider Practice Location Address
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    Address Line         |    590 SOLUTIONS WAY STE 120 
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    City                 |    ROCKLEDGE
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    State                |    FL
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    Zip                  |    32955-3623
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    Country              |    US
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    Telephone            |    321-387-7810
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    Fax                  |    321-445-5813
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Provider Business Mailing Address
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    Address Line         |    590 SOLUTIONS WAY STE 120 
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    City                 |    ROCKLEDGE
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    State                |    FL
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    Zip                  |    32955-3623
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    Country              |    US
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    Telephone            |    321-387-7810
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    Fax                  |    321-445-5813
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JILLIAN E HUDSON 
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    Credential           |    LMHC
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    Telephone            |    321-387-7810
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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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