Growth and Wellness Center, LLC.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

GROWTH AND WELLNESS CENTER, LLC.

Practice address

12001 Olympic Club Dr
Charlotte, NC 28277-4057

Phone

(704) 708-4605

NPI assigned

Nov 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Rose Leday, PH.D,

Title

Owner/ Ceo

Phone

(704) 927-5885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1336579077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 OLYMPIC CLUB DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774057",
            "telephone_number": "704-708-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 OLYMPIC CLUB DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774057",
            "telephone_number": "704-708-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH AND WELLNESS CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "LEDAY",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "704-927-5885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D,"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bethany Marie Grubb, PA
• Jessica Lynn Grubb, LCSWA
• Catherine Hill Grubbs, M.ED., CCC-SLP
• Debra F. Grubbs, CRNA

• Mental Illness Community Based Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.