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General NPI Number Information
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NPI Number | 1710847926
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Entity Type | Organization
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Legal Business Name | GROWING MINDS BEHAVIORAL GROUP SERVICES P.L.L.C.
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 9417 BERTWOOD ST UNIT A
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City | HOUSTON
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State | TX
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Zip | 77016-4733
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Country | US
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Telephone | 346-562-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 9417 BERTWOOD ST UNIT A
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City | HOUSTON
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State | TX
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Zip | 77016-4733
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Country | US
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Telephone | 346-562-6008
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | HALEY BUTLER
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Credential |
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Telephone | 346-562-6008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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