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General NPI Number Information
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NPI Number | 1386579035
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Entity Type | Organization
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Legal Business Name | LIFE AND GROWTH COUSELING, LLC.
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 1632 E 23RD AVE # 114
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City | HUTCHINSON
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State | KS
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Zip | 67502-4705
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Country | US
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Telephone | 620-491-2116
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Fax | 833-806-3116
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Provider Business Mailing Address
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Address Line | PO BOX 202
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City | PRETTY PRAIRIE
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State | KS
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Zip | 67570-0202
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Country | US
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Telephone | 620-491-2116
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Fax | 833-806-3116
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Authorized Official
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Title or Position | OWNER/CLINICAL THERAPIST
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Name | ROBERTA G GRABER
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Credential | LSCSW
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Telephone | 620-491-2116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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