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General NPI Number Information
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NPI Number | 1891651840
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Entity Type | Organization
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Legal Business Name | GROUNDED GROWTH COUNSELING PLLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 921 MINNESOTA DR
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City | TROY
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State | MI
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Zip | 48083-4437
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Country | US
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Telephone | 248-677-1594
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Fax |
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Provider Business Mailing Address
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Address Line | 921 MINNESOTA DR
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City | TROY
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State | MI
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Zip | 48083-4437
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Country | US
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Telephone | 248-677-1594
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SERENA BOLDISZAR
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Credential | MA, LPC, CAADC, NCC
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Telephone | 248-677-1594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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