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General NPI Number Information
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NPI Number | 1578425260
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Entity Type | Organization
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Legal Business Name | THE GROWTH COLLECTIVE, LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 6 COBBLESTONE VILLAGE WAY APT 7
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City | MILLBURY
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State | MA
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Zip | 01527-3291
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Country | US
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Telephone | 774-402-4638
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 164
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City | MILLBURY
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State | MA
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Zip | 01527-0164
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Country | US
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Telephone | 774-402-4638
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMALIAH ANN TORRES
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Credential | MS, LMHC
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Telephone | 774-402-4638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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