Grow Deep Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003658 Issued in GA

Legal business name

GROW DEEP COUNSELING, LLC

Practice address

4830 River Green Pkwy
Suite 150
Duluth, GA 30096-2505

Phone

(770) 331-9988

Fax

(770) 492-0301

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By 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

Kristin Ryan, MS, LPC, CPCSNPI 1477629343

Title

Owner, Therapist

Phone

(770) 331-9988

Specialties & licenses 1

Addresses

Locations

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.

• Kristin Ann Ryan, M.S.

  • Counselor
  • Lawrenceville, GA
  • NPI 1477629343
  Authorized official Same address or phone

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1851842553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491172",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490020",
            "telephone_number": "770-331-9988",
            "fax_number": "770-492-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 RIVER GREEN PKWY",
            "address_2": "SUITE 150",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300962505",
            "telephone_number": "770-331-9988",
            "fax_number": "770-492-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW DEEP COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "770-331-9988",
        "authorized_official_credential": "MS, LPC, CPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus C Griffith, M.D.
• Mark Steven Grimsley, MD
• Joanna Grisik, R.PH
• Daniel Craig Grizzle, M.D.
• Ana Silvia Grosso, MD
• Joseph G Guagliardo, D.C.
• Guardian Angels Behavioral Health LLC
• Nordys L Guerrero, OCCUPATIONAL THERAPY
• Layla Haddad Gunn, PHARM.D.
• Dana C Gunter

• Professional Counselor in Duluth, GA
• Providers in Duluth, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.