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General NPI Number Information
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NPI Number | 1326162629
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Entity Type | Organization
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Legal Business Name | GROWING PAINS, P.A.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 75 HAMPSTEAD VLG
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City | HAMPSTEAD
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State | NC
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Zip | 28443-8250
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Country | US
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Telephone | 910-270-3811
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Fax | 910-270-3897
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Provider Business Mailing Address
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Address Line | 75 HAMPSTEAD VLG
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City | HAMPSTEAD
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State | NC
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Zip | 28443-8250
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Country | US
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Telephone | 910-270-3811
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Fax | 910-270-3897
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. AMY M. SMITH
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Credential | LCSW
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Telephone | 910-270-3811
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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 | 616
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 2467
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C003220
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C003979
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License Number State | NC
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