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General NPI Number Information
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NPI Number | 1295531077
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Entity Type | Organization
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Legal Business Name | GUIDING GROWTH THERAPY LLC
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 802 NW 16TH AVE STE B
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City | GAINESVILLE
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State | FL
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Zip | 32601-4012
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Country | US
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Telephone | 352-448-7960
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Fax |
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Provider Business Mailing Address
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Address Line | 6527 SE 232ND TER
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City | HAWTHORNE
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State | FL
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Zip | 32640-3748
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Country | US
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Telephone | 352-448-7960
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIMI CULPEPPER
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Credential | LMHC
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Telephone | 352-448-7960
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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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