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General NPI Number Information
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NPI Number | 1528858024
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Entity Type | Organization
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Legal Business Name | GROW COUNSELING AND TRAINING CENTER
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 3301 S MARKET ST STE 205
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City | ROGERS
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State | AR
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Zip | 72758-7700
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Country | US
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Telephone | 479-721-1292
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Fax |
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Provider Business Mailing Address
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Address Line | 12016 FARRAR RD
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City | BENTONVILLE
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State | AR
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Zip | 72713-6667
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CHRISTOPHER SIMON
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Credential |
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Telephone | 479-721-1292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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