Provider Demographics
NPI:1306469606
Name:GROWING CENTER COUNSELING, LLC
Entity type:Organization
Organization Name:GROWING CENTER COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMHC
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFOS-MORIARTY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:352-598-2509
Mailing Address - Street 1:18060 2ND ST E
Mailing Address - Street 2:
Mailing Address - City:REDINGTON SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33708-1066
Mailing Address - Country:US
Mailing Address - Phone:352-598-2509
Mailing Address - Fax:
Practice Address - Street 1:2401 W BAY DR STE 117
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-4902
Practice Address - Country:US
Practice Address - Phone:352-598-2509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2020-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty