Provider Demographics
NPI:1225765563
Name:GROWTH MINDSET COUNSELING, PLLC
Entity Type:Organization
Organization Name:GROWTH MINDSET COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:MARCI
Authorized Official - Middle Name:TOPPIN
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCAS
Authorized Official - Phone:252-375-8245
Mailing Address - Street 1:4109 KITTRELL FARMS DR # B2
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-9264
Mailing Address - Country:US
Mailing Address - Phone:252-402-8128
Mailing Address - Fax:
Practice Address - Street 1:4109 KITTRELL FARMS DR # B2
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-9264
Practice Address - Country:US
Practice Address - Phone:252-402-8128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)