Provider Demographics
NPI:1346006061
Name:HEALING, GROWTH, KNOWLEDGE AND PEACE THERAPY SERVICES, PLLC
Entity Type:Organization
Organization Name:HEALING, GROWTH, KNOWLEDGE AND PEACE THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMHC
Authorized Official - Phone:716-803-7572
Mailing Address - Street 1:739 THIMBLE SHOALS BLVD STE 704
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3586
Mailing Address - Country:US
Mailing Address - Phone:716-803-7572
Mailing Address - Fax:757-586-5548
Practice Address - Street 1:739 THIMBLE SHOALS BLVD STE 704
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3586
Practice Address - Country:US
Practice Address - Phone:716-803-7572
Practice Address - Fax:757-586-5548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty