Provider Demographics
NPI:1083367346
Name:HEALING AND GROWING INC
Entity Type:Organization
Organization Name:HEALING AND GROWING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:K
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:619-414-0042
Mailing Address - Street 1:8898 NAVAJO RD STE C316
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-2141
Mailing Address - Country:US
Mailing Address - Phone:619-414-0042
Mailing Address - Fax:
Practice Address - Street 1:7813 TOMMY DR UNIT 63
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-1708
Practice Address - Country:US
Practice Address - Phone:619-414-0042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty