Seeds of Growth

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SEEDS OF GROWTH

Practice address

4113 Bridgeport Way W Ste C1
University Place, WA 98466-4325

Phone

(253) 215-2740

NPI assigned

Mar 13, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Clark, LMHCNPI 1043688583

Title

Owner

Phone

(253) 215-2740

Specialties & licenses 1

Addresses

Other names 1

• Seeds of Growth Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Michael Clark II, LMHC

  • Mental Health Counselor
  • Fircrest, WA
  • NPI 1043688583
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1043779614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 PACIFIC ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994244",
            "telephone_number": "253-973-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 BRIDGEPORT WAY W STE C1",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664325",
            "telephone_number": "253-215-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS OF GROWTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-215-2740",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seeds of Growth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seeds of Growth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sukcha Song Schreck, INTERPRETER
• Kristina Scott, RN
• Sea-Mar Community Health Center
• Jana Seaman, DDS
• Karolina Sofia Seda
• Karen Lea Semones, M.D.
• Seok W. Nichols I, DDS, PS
• Renisha J Seraile
• Carol Jo Seward
• Alexis Grace Shaffstall, PHARMD

• Adult Mental Health Clinic/Center in University Place, WA
• Providers in University Place, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.