GROWTH SPACE THERAPY LLC NPI 1063395390

NPI Information

  • NPI: 1063395390
  • Provider Name: GROWTH SPACE THERAPY LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2740 W CAMINO LLANO
    TUCSON, AZ
    ZIP 85742
  • Phone: (805) 319-8437

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NPI Details

GROWTH SPACE THERAPY LLC is a mental health counselor in Tucson, AZ. GROWTH SPACE THERAPY LLC NPI is 1063395390. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2740 W CAMINO LLANO
TUCSON, AZ
ZIP 85742-250
Phone: (805) 319-8437

The provider's authorized official is Seton Gruneisen .
The authorized official title is Member Owner and has the following contact phone number (805) 319-8437.

The enumeration date for this NPI number is 7/25/2025 and was last updated on 7/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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