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General NPI Number Information
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NPI Number | 1922999630
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Entity Type | Organization
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Legal Business Name | XPONENTIAL GROWTH ACADEMY LLC
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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 | 3792 MORGAN LN
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City | WAHIAWA
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State | HI
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Zip | 96786-3622
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Country | US
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Telephone | 910-214-7454
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Fax |
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Provider Business Mailing Address
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Address Line | 3792 MORGAN LN
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City | WAHIAWA
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State | HI
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Zip | 96786-3622
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Country | US
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Telephone | 910-214-7454
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Fax |
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Authorized Official
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Title or Position | LCMHC
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Name | DR. LAURINE LEBLANC-WHITE
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Credential | LCMHC
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Telephone | 704-779-4390
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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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