Active NPI
G.R.O.W.T.H. Counseling and Therapy, LLC
- Community/Behavioral Health Agency
- East Palatka, FL
National Provider Identifier
1780417162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Therapy
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- North Miami Beach, FL
- NPI 1568102341
-
- Community/Behavioral Health Agency
- North Miami Beach, FL
- NPI 1669094686
-
- Case Management Agency
- North Miami Beach, FL
- NPI 1972298776
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.