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General NPI Number Information
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NPI Number | 1821989633
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Entity Type | Organization
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Legal Business Name | PROSPER&GROW
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 6726 FRANKFORD AVE UNIT 3
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City | PHILADELPHIA
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State | PA
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Zip | 19135-2104
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Country | US
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Telephone | 215-821-8774
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 FILLMORE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19124-5927
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER / CE0
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Name | ASHLEY SAMPSON
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Credential | M.ED, NCC, LPC
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Telephone | 215-821-8774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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