Growthquest Enterprises LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2399 Issued in SC

Legal business name

GROWTHQUEST ENTERPRISES LLC

Practice address

119 N Goose Creek Blvd
Suite B
Goose Creek, SC 29445-2960

Phone

(843) 408-4732

Fax

(866) 708-1623

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Sandy M Davidson, LISW-CPNPI 1356537559

Title

Managing Member

Phone

(843) 408-4732

Specialties & licenses 1

Addresses

Other names 1

• New Directions Behavioral Health Doing business as

Locations

Practitioners 1

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

• Sandy M Davidson, LISW-CP

  • Clinical Social Worker
  • Goose Creek, SC
  • NPI 1356537559
  NPD Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1407038847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N GOOSE CREEK BLVD",
            "address_2": "SUITE B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452960",
            "telephone_number": "843-408-4732",
            "fax_number": "866-708-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N GOOSE CREEK BLVD",
            "address_2": "SUITE B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452960",
            "telephone_number": "843-408-4732",
            "fax_number": "866-708-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTHQUEST ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "843-408-4732",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "2399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Directions Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin L Green, LPC
• Taliyah Lavale Green
• Laura Rachelle Gribble
• Paula Griffin, CERTIFIED NURSE AIDE
• Griswold Home Care
• Gabrielle Gayle Grzona, MS, RDN
• Beth Guerry
• Janice Patrice Guidi, PSY.D.
• Matthew W Gunn, PT
• Hailey Gunter

• Clinical Social Worker in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.