Active NPI
Growing Hope Therapy, LLC
- Mental Health Counselor
- Debary, FL
National Provider Identifier
1154907970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GROWING HOPE THERAPY, LLC
- Practice address
- 140 Bradwick Cir
Debary, FL 32713-2117 - Phone
- (386) 717-9612
- NPI assigned
- Mar 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan G Conyac, LMHC
- Title
- Ceo
- Phone
- (386) 717-9612
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
140 Bradwick Cir
Debary, FL 32713-2117
Mailing address
140 Bradwick Cir
Debary, FL 32713-2117
Phone (386) 717-9612
National Provider Directory
National Provider DirectoryPractitioners & 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": "1616371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616371200000",
"number": "1154907970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 BRADWICK CIR",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132117",
"telephone_number": "386-717-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 BRADWICK CIR",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132117",
"telephone_number": "386-717-9612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROWING HOPE THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A",
"authorized_official_last_name": "CONYAC",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "386-717-9612",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.