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General NPI Number Information
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NPI Number | 1629940846
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Entity Type | Organization
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Legal Business Name | GRACE MINDED THERAPY PLLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 17 CEDAR ST W
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City | MOTLEY
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State | MN
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Zip | 56466-2493
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Country | US
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Telephone | 320-431-6462
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Fax | 855-595-1058
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Provider Business Mailing Address
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Address Line | 17 CEDAR ST W
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City | MOTLEY
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State | MN
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Zip | 56466-2493
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Country | US
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Telephone | 320-431-6462
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Fax | 855-595-1058
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SAMANTHA MARIE PLUMSKI
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Credential | LICSW
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Telephone | 320-431-6462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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