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NPI 1811625031

NPI 1811625031 : GROWTH BY CHOICE COUNSELING, PLLC : GRAPEVINE, TX

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General NPI Number Information
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    NPI Number           |    1811625031
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    Entity Type          |    Organization 
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    Legal Business Name  |    GROWTH BY CHOICE COUNSELING, PLLC 
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Dates
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    Enumeration Date     |    08/15/2022
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    Last Update Date     |    08/29/2025
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Provider Practice Location Address
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    Address Line         |    1452 HUGHES RD STE 200 
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    City                 |    GRAPEVINE
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    State                |    TX
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    Zip                  |    76051
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    Country              |    US
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    Telephone            |    817-366-9740
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7090 N ORACLE RD SUITE 178 PMB 1120
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85704
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    Country              |    US
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    Telephone            |    817-366-9740
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    Fax                  |    817-259-2743
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Authorized Official
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    Title or Position    |    OWNER, MANAGING MEMBER
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    Name                 |     GLENDA MARIA VALENTICH 
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    Credential           |    LCSW
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    Telephone            |    817-366-9740
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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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