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General NPI Number Information
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NPI Number | 1427905942
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Entity Type | Organization
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Legal Business Name | GRATEFUL GROWTH COUNSELING AND CONSULTING, PLLC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 100 CONNEMARA DR STE 105
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City | CARY
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State | NC
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Zip | 27519-5889
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Country | US
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Telephone | 984-439-9771
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Fax | 984-299-3258
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Provider Business Mailing Address
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Address Line | 1222 ROSEPINE DR
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City | CARY
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State | NC
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Zip | 27519-6682
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Country | US
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Telephone | 954-708-0613
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Fax | 984-299-3258
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Authorized Official
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Title or Position | OWNER
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Name | CRISTINA CORAL MENA
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Credential | LCMHC
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Telephone | 954-708-0613
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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 |
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License Number State |
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