Provider Demographics
NPI:1407458656
Name:GROWTH WITH A PURPOSE FAMILY SERVICES, LLC
Entity Type:Organization
Organization Name:GROWTH WITH A PURPOSE FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-615-3329
Mailing Address - Street 1:4663 HAYGOOD RD STE 208
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5442
Mailing Address - Country:US
Mailing Address - Phone:757-615-3329
Mailing Address - Fax:
Practice Address - Street 1:4663 HAYGOOD RD STE 208
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5442
Practice Address - Country:US
Practice Address - Phone:757-615-3329
Practice Address - Fax:757-524-5316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty