Organization Active NPI

Growth Thru Change LLC

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1922814698
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GROWTH THRU CHANGE LLC
Practice address
1625 South St
Philadelphia, PA 19146-1541
Phone
(215) 337-3993
Fax
(215) 337-3993
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Stefanie Sophia Brandstetter, LCSWNPI 1629855895
Title
Ceo
Phone
(215) 337-3993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1625 South St
Philadelphia, PA 19146-1541

Mailing address

1625 South St
Philadelphia, PA 19146-1541
Phone (215) 337-3993

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1922814698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SOUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461541",
            "telephone_number": "215-337-3993",
            "fax_number": "215-337-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SOUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461541",
            "telephone_number": "215-337-3993",
            "fax_number": "215-337-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH THRU CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "BRANDSTETTER",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "SOPHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-337-3993",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.