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General NPI Number Information
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NPI Number | 1336859149
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Entity Type | Organization
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Legal Business Name | INSPIRING GROWTH COUNSELING, LLC
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Dates
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Enumeration Date | 12/02/2022
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 2104 CROSSBRIDGE BLVD.
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City | BYRAM
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State | MS
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Zip | 39272
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Country | US
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Telephone | 601-985-7058
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Fax |
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Provider Business Mailing Address
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Address Line | 2104 CROSSBRIDGE BLVD.
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City | BYRAM
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State | MS
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Zip | 39272
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Country | US
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Telephone | 601-985-7058
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KORLYNN TRICE
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Credential | MHA
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Telephone | 601-624-5912
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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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Taxonomy #2
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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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