The Growth Room LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE GROWTH ROOM LLC

Practice address

454 Highbrooke Blvd
Ocoee, FL 34761-3335

Phone

(352) 717-4078

NPI assigned

Aug 7, 2026

Organization subpart

No

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

Authorized official

Name

Kelly Evans, LCSWNPI 1831773134

Title

Ceo; Mental Health Therapist

Phone

(352) 717-4078

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelly Marie Evans, LCSW

  • Clinical Social Worker
  • Ocoee, FL
  • NPI 1831773134
  NPD (past) Authorized official

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1184548489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 HIGHBROOKE BLVD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613335",
            "telephone_number": "352-717-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 HIGHBROOKE BLVD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613335",
            "telephone_number": "352-717-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROWTH ROOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO; MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "352-717-4078",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.