Fearless Growth Therapeutic Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FEARLESS GROWTH THERAPEUTIC SERVICES, LLC

Practice address

225 N Division St RM 207
Salisbury, MD 21801-4302

Phone

(410) 603-3104

NPI assigned

Jun 15, 2018

Organization subpart

No

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

Authorized official

Name

Ciara Cooks, LCSW-CNPI 1639514631

Title

Owner/Therapist

Phone

(443) 735-1300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ciara Cooks

  • Clinical Social Worker
  • Salisbury, MD
  • NPI 1639514631
  NPD (past) Authorized official

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1275027088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 S KAYWOOD DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218048652",
            "telephone_number": "443-735-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N DIVISION ST RM 207",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014302",
            "telephone_number": "410-603-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEARLESS GROWTH THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "COOKS",
        "authorized_official_first_name": "CIARA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "443-735-1300",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Rene Fasanella, PHARMD
• Maxime Fatal
• Seemab Fatima
• Cole Lane Faulkner, DO
• Elizabeth N Faw, SLP
• Stephanie Lynn Fellenger, CRNP
• Greg C Felthousen, DDS, MS
• Feran Healthcare Services
• Umme Jannatul Ferdaush, MD
• Victor Ray Ferkel, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.