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NPI 1760324107

NPI 1760324107 : SUBLIME GROWTH: CONSULTING AND PSYCHOEDUCATION, PLLC : CYPRESS, TX

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General NPI Number Information
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    NPI Number           |    1760324107
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUBLIME GROWTH: CONSULTING AND PSYCHOEDUCATION, PLLC 
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Dates
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    Enumeration Date     |    04/06/2026
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    Last Update Date     |    04/06/2026
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Provider Practice Location Address
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    Address Line         |    17510 HUFFMEISTER RD STE 106B 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77429-6785
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    Country              |    US
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    Telephone            |    832-975-0145
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17510 HUFFMEISTER RD STE 106B 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77429-6785
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    Country              |    US
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    Telephone            |    832-975-0145
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO, CLINICAL DIRECTOR
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    Name                 |     ELENA A KNUTSON 
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    Credential           |    LCSW-S
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    Telephone            |    832-984-7871
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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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