Growth Wellness and Change Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GROWTH WELLNESS AND CHANGE CENTER LLC

Practice address

1914 J N Pease PL
Charlotte, NC 28262-4504

Phone

(704) 222-3443

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Reginald Gilkesson, LCSWNPI 1467647701

Title

Ceo

Phone

(704) 222-3443

Specialties & licenses 1

Addresses

Other names 1

• Growth Wellness and Change Center LLC Doing business as

Practitioners 1

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

• Reginald M Gilkesson

  • Clinical Social Worker
  • Kannapolis, NC
  • NPI 1467647701
  NPD Authorized official

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1649852377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 BETTERTON LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690154",
            "telephone_number": "704-222-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "704-222-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH WELLNESS AND CHANGE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-12-13",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "GILKESSON",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-222-3443",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Growth Wellness and Change Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Growing Hands Support Services LLC
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• Growing Minds Pediatric Therapy LLC
• Growing With Trust
• Growth and Wellness Center, LLC.
• Bethany Marie Grubb, PA
• Jessica Lynn Grubb, LCSWA
• Catherine Hill Grubbs, M.ED., CCC-SLP
• Debra F. Grubbs, CRNA
• Judith H. Grubbs, PNP

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.