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General NPI Number Information
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NPI Number | 1811705551
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Entity Type | Organization
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Legal Business Name | MINDFUL GROWTH COLLECTIVE PLLC
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 370 NEFF AVE UNIT P2
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City | HARRISONBURG
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State | VA
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Zip | 22801-3438
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Country | US
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Telephone | 540-849-8183
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Fax |
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Provider Business Mailing Address
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Address Line | 520 ALLEGHANY AVE
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City | STAUNTON
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State | VA
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Zip | 24401-3101
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Country | US
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Telephone | 540-849-8183
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Fax |
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Authorized Official
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Title or Position | LPC, MEMBER
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Name | LAUREN SNEAD
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Credential | LPC
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Telephone | 540-849-8183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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