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General NPI Number Information
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NPI Number | 1841013844
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Entity Type | Organization
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Legal Business Name | GRACE AND GROWTH COUNSELING LLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 2040 S EAGLE RD
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City | MERIDIAN
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State | ID
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Zip | 83642-6707
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Country | US
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Telephone | 208-615-5429
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Fax |
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Provider Business Mailing Address
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Address Line | 10180 DAVIES ST
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City | NAMPA
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State | ID
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Zip | 83687-8277
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Country | US
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Telephone | 503-929-0532
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RACHEL VOIGHT
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Credential |
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Telephone | 503-929-0532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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