Organization Active NPI

Growth and Self Love LLC

  • Adult Mental Health Clinic/Center
  • Fairfield, CT
National Provider Identifier
1063294528
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GROWTH AND SELF LOVE LLC
Practice address
74 Beacon View Dr
Fairfield, CT 06825-3703
Phone
(203) 290-8507
NPI assigned
Oct 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Fikreta CirikovicNPI 1932835634
Title
Owner
Phone
(203) 290-8507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

74 Beacon View Dr
Fairfield, CT 06825-3703

Mailing address

74 Beacon View Dr
Fairfield, CT 06825-3703

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1063294528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BEACON VIEW DR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BEACON VIEW DR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068253703",
            "telephone_number": "203-290-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH AND SELF LOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "CIRIKOVIC",
        "authorized_official_first_name": "FIKRETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-290-8507"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.