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General NPI Number Information
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NPI Number | 1568378909
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Entity Type | Organization
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Legal Business Name | GROWING FIELDS THERAPY GROUP
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 7972 GILBERT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19150
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Country | US
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Telephone | 610-772-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 1657 THE FAIRWAY # 1006
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City | JENKINTOWN
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State | PA
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Zip | 19046-1499
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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 | OWNER
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Name | JAYDA FIELDS
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Credential | LPC
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Telephone | 610-772-4340
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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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