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General NPI Number Information
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NPI Number | 1265346704
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Entity Type | Organization
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Legal Business Name | EXPONENTIAL GROWTH AND THERAPY LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL STE 11911
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City | ATLANTA
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State | GA
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Zip | 30350
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Country | US
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Telephone | 706-709-1807
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Fax |
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Provider Business Mailing Address
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Address Line | 246 ROBERT C DANIEL JR PKWY # 1105
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City | AUGUSTA
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State | GA
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Zip | 30909-0803
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Country | US
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Telephone | 706-709-1807
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA FRAZIER
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Credential | LPC
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Telephone | 706-709-1807
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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 | NULL
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