Organization Active NPI

G.R.O.W.T.H. Counseling and Therapy, LLC

  • Community/Behavioral Health Agency
  • East Palatka, FL
National Provider Identifier
1780417162
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
G.R.O.W.T.H. COUNSELING AND THERAPY, LLC
Practice address
213 S US Highway 17
East Palatka, FL 32131-4005
Phone
(786) 589-7248
Fax
(786) 589-7248
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Kimberly Lynn Roberts
Title
Owner
Phone
(718) 785-6367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

213 S US Highway 17
East Palatka, FL 32131-4005

Mailing address

1001 N Miami Beach Blvd
North Miami Beach, FL 33162-3842

National Provider Directory

National Provider Directory
Tax ID family
Growth Counseling and Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

213 S US Highway 17
East Palatka, FL 32131
Phone (386) 328-1780

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1780417162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N MIAMI BEACH BLVD",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S US HIGHWAY 17",
            "city": "EAST PALATKA",
            "state": "FL",
            "postal_code": "321314005",
            "telephone_number": "786-589-7248",
            "fax_number": "786-589-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.R.O.W.T.H. COUNSELING AND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-785-6367"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.