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General NPI Number Information
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NPI Number | 1306433214
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Entity Type | Organization
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Legal Business Name | THINK GROW INNOVATE PSYCHOLOGICAL SERVICES PROFESSION CORPORATION
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Dates
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Enumeration Date | 12/26/2020
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 3111 CAMINO DEL RIO N STE 400-450
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City | SAN DIEGO
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State | CA
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Zip | 92108-5720
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Country | US
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Telephone | 619-350-1495
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Fax | 858-790-8300
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | POOLER
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State | GA
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Zip | 31322-0040
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Country | US
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Telephone | 619-350-1495
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Fax | 858-790-8300
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | DR. LIZA T. JONES
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Credential | PSYD; LMFT
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Telephone | 619-350-1495
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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