Provider Demographics
NPI:1477109031
Name:GROW AND THRIVE COUNSELING, PLLC
Entity Type:Organization
Organization Name:GROW AND THRIVE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MERRITHEW
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:603-254-7419
Mailing Address - Street 1:2450 RUMNEY ROUTE 25
Mailing Address - Street 2:
Mailing Address - City:RUMNEY
Mailing Address - State:NH
Mailing Address - Zip Code:03266-3326
Mailing Address - Country:US
Mailing Address - Phone:603-254-7419
Mailing Address - Fax:
Practice Address - Street 1:258 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-3612
Practice Address - Country:US
Practice Address - Phone:603-254-7419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty