Organization · Type 2 NPI

Supported Growth Counseling LLC

Professional Counselor · Republic, MO

NPI number 1063391126 Active

Practice location

9303 W State Highway Tt
Republic, MO 65738-2583

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1063391126

Supported Growth Counseling LLC's National Provider Identifier is 1063391126, issued on Sep 1, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Republic, MO. The record was last updated on Sep 1, 2025.