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General NPI Number Information
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NPI Number | 1457945883
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Entity Type | Organization
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Legal Business Name | HOPE GROWS COUNSELING LLC
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 794 E ST
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City | FERNLEY
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State | NV
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Zip | 89408-8570
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Country | US
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Telephone | 775-561-4299
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Fax |
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Provider Business Mailing Address
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Address Line | 794 E ST
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City | FERNLEY
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State | NV
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Zip | 89408-8570
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Country | US
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Telephone | 775-561-4299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BONNIE GAINES
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Credential | LCSW
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Telephone | 775-561-4299
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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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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