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General NPI Number Information
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NPI Number | 1609597202
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Entity Type | Organization
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Legal Business Name | GROWING PLACES COUNSELING, PLLC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 1217 N MAIN ST
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City | HARRISON
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State | AR
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Zip | 72601-2509
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Country | US
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Telephone | 870-204-2875
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Fax | 888-412-3702
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Provider Business Mailing Address
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Address Line | 1217 N MAIN ST
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City | HARRISON
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State | AR
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Zip | 72601-2509
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Country | US
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Telephone | 870-204-2875
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Fax | 888-412-3702
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Authorized Official
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Title or Position | OWNER/LCSW
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Name | LAUREL N GASS
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Credential | LCSW
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Telephone | 870-204-2875
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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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