Organization Active NPI

The Growth Place, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1164073102
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE GROWTH PLACE, LLC
Practice address
301 Graceland Dr SE Ste B
Albuquerque, NM 87108-2778
Phone
(575) 740-1689
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Kassandra Williams, LMFTNPI 1821479692
Title
Owner
Phone
(575) 740-1689

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

301 Graceland Dr SE Ste B
Albuquerque, NM 87108-2778

Mailing address

2813 Alvarado Dr NE
Albuquerque, NM 87110-3229
Phone (575) 740-1689

National Provider Directory

National Provider Directory

Locations

301 Graceland Dr SE
Ste B
Albuquerque, NM 87108
Phone (505) 710-5813

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": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1164073102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 ALVARADO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103229",
            "telephone_number": "575-740-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GRACELAND DR SE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082778",
            "telephone_number": "575-740-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROWTH PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-740-1689",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.