Organization Active NPI

Growth & Recovery Counseling Center LLC

  • Clinical Social Worker
  • Trinity, FL
National Provider Identifier
1972938967
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9562 Issued in FL
Legal business name
GROWTH & RECOVERY COUNSELING CENTER LLC
Practice address
7747 Mitchell Blvd
Ste. B
Trinity, FL 34655-4725
Phone
(727) 267-6247
Fax
(888) 878-0546
NPI assigned
Sep 9, 2013
Last updated
Sep 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Mrs. Joy Davis Vincent, LCSW
Title
Owner, Senior Therapist
Phone
(727) 267-6247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW9562 FL Primary

Addresses

Primary practice location

7747 Mitchell Blvd
Ste. B
Trinity, FL 34655-4725

Mailing address

7747 Mitchell Blvd
Ste. B
Trinity, FL 34655-4725
Phone (727) 267-6247

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1972938967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7747 MITCHELL BLVD",
            "address_2": "STE. B",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554725",
            "telephone_number": "727-267-6247",
            "fax_number": "888-878-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7747 MITCHELL BLVD",
            "address_2": "STE. B",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554725",
            "telephone_number": "727-267-6247",
            "fax_number": "888-878-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH & RECOVERY COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER, SENIOR THERAPIST",
        "authorized_official_telephone_number": "727-267-6247",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.