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General NPI Number Information
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NPI Number | 1548155914
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Entity Type | Organization
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Legal Business Name | GROWTH & HEALING CENTER PLLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 117 HOLDEN BEACH RD SW STE 109
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City | SHALLOTTE
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State | NC
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Zip | 28470-1787
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Country | US
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Telephone | 910-233-6257
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Fax | 910-782-0428
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Provider Business Mailing Address
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Address Line | 463 TANNER DR SW
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City | SHALLOTTE
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State | NC
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Zip | 28470-5293
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Country | US
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Telephone | 910-233-6257
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Fax | 910-782-0428
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Authorized Official
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Title or Position | PYSCHOTHERAPIST
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Name | MRS. SUSAN DIANE WARREN
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Credential | MSW, LCSW
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Telephone | 910-233-6257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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