GROWTH SPACE PLLC NPI 1457918526

NPI Information

NPI: 1457918526
Provider Name: GROWTH SPACE, PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
8601 N BLACK CANYON HWY STE 103OFC10
PHOENIX, AZ
ZIP 85021
Phone: (602) 845-0707
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GROWTH SPACE, PLLC is a mental health (including community mental health center) clinic center in Phoenix, AZ. GROWTH SPACE, PLLC NPI is 1457918526. The provider is registered as an organization entity type.

The provider's business location address is:

8601 N BLACK CANYON HWY STE 103OFC10
PHOENIX, AZ
ZIP 85021-109
Phone: (602) 845-0707
Fax: (602) 296-0398

The provider's authorized official is Kathryn Mcclearn .
The authorized official title is Mental Health Counselor/ Clinician and has the following contact phone number (602) 845-0707.

The enumeration date for this NPI number is 5/23/2019 and was last updated on 12/22/2020.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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: 4/28/2024

NPI Synchronization or Removal

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