Growth Space, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GROWTH SPACE, PLLC

Practice address

5900 Balcones Dr Ste 9355
Austin, TX 78731-4257

Phone

(915) 703-1415

Fax

(915) 235-3201

NPI assigned

May 22, 2023

Last updated

Jan 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Myra L Hernandez, PHD., LPC-SNPI 1033322417

Title

Founder/Provider

Phone

(915) 703-1415

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Growth Space PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Growth Space, PLLC

  • Mental Health Counselor
  • Austin, TX
  • NPI 1801594353
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myra Hernandez, PHD., LPC-S

  • Mental Health Counselor
  • Austin, TX
  • NPI 1033322417
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1578255246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 9355",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "915-703-1415",
            "fax_number": "915-235-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 9355",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "915-703-1415",
            "fax_number": "915-235-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Westwind Dr Ste 142",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799121778",
            "country_code": "US",
            "telephone_number": "915-703-1415 x74550",
            "fax_number": "915-235-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROWTH SPACE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FOUNDER/PROVIDER",
        "authorized_official_telephone_number": "915-703-1415",
        "authorized_official_credential": "PHD., LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4714040",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1033322417",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029085011",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Growth Space, PLLC
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• Grram Healthcare LLC Dba the Annex
• Lyndsay Grubb, RD
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• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.