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NPI 1619823630

NPI 1619823630 : SEED WORKS THERAPY, LLC : COLUMBIA, SC

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General NPI Number Information
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    NPI Number           |    1619823630
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    Entity Type          |    Organization 
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    Legal Business Name  |    SEED WORKS THERAPY, LLC 
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Dates
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    Enumeration Date     |    03/10/2026
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    Last Update Date     |    03/10/2026
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Provider Practice Location Address
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    Address Line         |    1901 MAIN ST 
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    City                 |    COLUMBIA
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    State                |    SC
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    Zip                  |    29201-2443
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    Country              |    US
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    Telephone            |    408-431-9226
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1901 MAIN ST 
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    City                 |    COLUMBIA
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    State                |    SC
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    Zip                  |    29201-2443
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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    |    DIRECTOR, REGULATORY COMPLIANCE
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    Name                 |     POOJA  SAM 
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    Credential           |    
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    Telephone            |    408-431-9226
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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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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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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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Taxonomy #10
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    Taxonomy Code        |    1041S0200X
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    Taxonomy Name        |    School Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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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 |    
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Taxonomy #12
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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