Provider Demographics
NPI:1083181275
Name:LIVING AND GROWING, LLC
Entity Type:Organization
Organization Name:LIVING AND GROWING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:D
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, APRN, BC
Authorized Official - Phone:202-412-3666
Mailing Address - Street 1:708 GIST AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-5234
Mailing Address - Country:US
Mailing Address - Phone:202-412-3666
Mailing Address - Fax:301-565-9621
Practice Address - Street 1:8777 1ST AVE # A
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3511
Practice Address - Country:US
Practice Address - Phone:301-920-0316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)