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General NPI Number Information
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NPI Number | 1316746837
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Entity Type | Organization
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Legal Business Name | GROWTH MINDSET INNOVATIONS, INC.
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Dates
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Enumeration Date | 03/08/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 2301 S HURON PKWY STE 2B
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City | ANN ARBOR
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State | MI
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Zip | 48104-5133
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Country | US
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Telephone | 734-502-7258
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2670
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City | BELLEVILLE
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State | MI
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Zip | 48112-2670
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Country | US
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Telephone | 734-502-7258
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MITCHELL ANDRIES
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Credential | LPC
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Telephone | 734-502-7258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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