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General NPI Number Information
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NPI Number | 1578477741
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Entity Type | Organization
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Legal Business Name | GROUNDED GROWTH COUNSELING LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 200 WAYMONT CT STE 126
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City | LAKE MARY
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State | FL
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Zip | 32746-3413
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Country | US
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Telephone | 407-283-7130
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Fax |
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Provider Business Mailing Address
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Address Line | 2080 LITTLE FARMS CT
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City | DELTONA
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State | FL
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Zip | 32738-2957
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Country | US
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Telephone | 407-283-7130
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RUTH CALDWELL
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Credential | LMFT
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Telephone | 407-283-7130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | NULL
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