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General NPI Number Information
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NPI Number | 1730038795
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Entity Type | Organization
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Legal Business Name | GROWTH MINDSET COUNSELING AND WELLNESS SERVICES
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 8401 NE HALSEY ST STE 108
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City | PORTLAND
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State | OR
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Zip | 97220-5670
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Country | US
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Telephone | 503-816-9552
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Fax |
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Provider Business Mailing Address
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Address Line | 9739 SE FOSTER RD
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City | PORTLAND
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State | OR
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Zip | 97266-4540
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Country | US
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Telephone | 503-816-9552
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Fax |
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Authorized Official
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Title or Position | LCSW/ OWNER
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Name | VICTORIA SHAVANNAH LAMY
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Credential | LCSW
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Telephone | 503-816-9552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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