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General NPI Number Information
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NPI Number | 1659765758
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Entity Type | Organization
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Legal Business Name | GROWING HEARTS, GROWING MINDS INC.
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 2524 LILLIAN MILLER PKWY SUITE 115
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City | DENTON
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State | TX
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Zip | 76210-7206
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Country | US
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Telephone | 940-220-9469
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Fax | 972-426-9609
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Provider Business Mailing Address
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Address Line | 1602 SEQUOIA DR
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City | KRUM
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State | TX
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Zip | 76249-7182
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Country | US
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Telephone | 940-220-9469
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Fax | 972-426-9609
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | CATHERINE RICHARDSON
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Credential | LPC
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Telephone | 940-220-9469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 70653
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License Number State | TX
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