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General NPI Number Information
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NPI Number | 1508728544
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Entity Type | Organization
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Legal Business Name | GROWING MINDS PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/29/2025
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Provider Practice Location Address
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Address Line | 701 77TH AVE N UNIT 55056
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City | SAINT PETERSBURG
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State | FL
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Zip | 33732-7902
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Country | US
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Telephone | 727-748-1029
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Fax | 727-748-0573
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Provider Business Mailing Address
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Address Line | 701 77TH AVE N UNIT 55056
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City | SAINT PETERSBURG
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State | FL
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Zip | 33732-7902
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Country | US
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Telephone | 727-748-1029
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Fax | 727-748-0573
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Authorized Official
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Title or Position | PSYCHOLOGIST/ OWNER
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Name | DR. MONIQUE COHN-MOORE
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Credential | PHD
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Telephone | 727-748-1029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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