Organization Active NPI

Growth Space Therapy

  • Clinical Social Worker
  • Miramar, FL
National Provider Identifier
1083565915
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GROWTH SPACE THERAPY
Practice address
3350 SW 148TH Ave
Miramar, FL 33027-3257
Phone
(954) 367-9663
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Loly Morillo, LCSWNPI 1790667756
Title
Founder and Psychotherapist
Phone
(954) 367-9663

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3350 SW 148TH Ave
Miramar, FL 33027-3257

Mailing address

3350 SW 148TH Ave
Miramar, FL 33027-3257
Phone (954) 367-9663

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": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1083565915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SW 148TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273257",
            "telephone_number": "954-367-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SW 148TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273257",
            "telephone_number": "954-367-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH SPACE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "MORILLO",
        "authorized_official_first_name": "LOLY",
        "authorized_official_title_or_position": "FOUNDER AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "954-367-9663",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.