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General NPI Number Information
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NPI Number | 1396475802
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Entity Type | Organization
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Legal Business Name | GROWING IN LEAPS AND BOUNDS COUNSELING SERVICES, PC
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 100 W BIG BEAVER RD STE 200
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City | TROY
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State | MI
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Zip | 48084-5283
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Country | US
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Telephone | 248-520-1231
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Fax | 844-270-7373
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Provider Business Mailing Address
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Address Line | PO BOX 274
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City | TROY
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State | MI
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Zip | 48099-0274
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Country | US
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Telephone | 248-520-1231
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Fax | 844-270-7373
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Authorized Official
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Title or Position | OWNER/PRACTITIONER/PRESIDENT
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Name | DIONNE RENEE GREEN
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Credential | MA,LPC
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Telephone | 248-520-1231
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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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