PURE HEALTH AND WELLNESS TREATMENT CENTER PLLC NPI 1700482601

NPI Information

  • NPI: 1700482601
  • Provider Name: PURE HEALTH AND WELLNESS TREATMENT CENTER, PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Former Legal Business Name: GROW THERAPEUTIC SERVICES, PLLC
  • Address: 1320 CENTRAL PARK BLVD STE 200
    FREDERICKSBURG, VA
    ZIP 22401
  • Phone: (703) 881-6233

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NPI Details

PURE HEALTH AND WELLNESS TREATMENT CENTER, PLLC is a professional counselor in Fredericksburg, VA. PURE HEALTH AND WELLNESS TREATMENT CENTER, PLLC NPI is 1700482601. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Grow Therapeutic Services, Pllc.

The provider's business location address is:

1320 CENTRAL PARK BLVD STE 200
FREDERICKSBURG, VA
ZIP 22401-953
Phone: (703) 881-6233

The provider's authorized official is Ceyonna Lewis .
The authorized official title is Program Director and has the following contact phone number (443) 842-4952.

The enumeration date for this NPI number is 12/7/2020 and was last updated on 1/8/2024.

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
1251S00000XCommunity/Behavioral HealthNo
2101Y00000XCounselorNo
3101YM0800XCounselorMental HealthNo
4106H00000XMarriage & Family TherapistNo
5101YP2500XCounselorProfessionalYes

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: 3/30/2025

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