Provider Demographics
NPI:1538055371
Name:RIBBON OF GROWTH THERAPY LLC
Entity type:Organization
Organization Name:RIBBON OF GROWTH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAKEASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:256-519-1708
Mailing Address - Street 1:214 NELLIE FAYE LN
Mailing Address - Street 2:
Mailing Address - City:MERIDIANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35759-2810
Mailing Address - Country:US
Mailing Address - Phone:256-519-1708
Mailing Address - Fax:
Practice Address - Street 1:7027 OLD MADISON PIKE NW STE 1087027
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2368
Practice Address - Country:US
Practice Address - Phone:256-519-1708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty