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Organization
GROWING MINDS, LLC
Active
Organization
GROWING MINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANSANEE LONGBRAKE LPCC (PARTNER)
(419) 420-5012
Entity
Organization
Contact information
Practice address
5941 W TIFFIN ST, BASCOM, OH 44809
(419) 420-5012
Mailing address
1305 PELTON RD, FOSTORIA, OH 44830-9760
(419) 420-5012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2026
Last updated
08/19/2026
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