Provider Demographics
NPI:1558693168
Name:GUIDANCE FOR GROWING, INC.
Entity Type:Organization
Organization Name:GUIDANCE FOR GROWING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:RADOKSY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CAC
Authorized Official - Phone:215-421-1634
Mailing Address - Street 1:121 N MAIN ST
Mailing Address - Street 2:SUITE 108A
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1715
Mailing Address - Country:US
Mailing Address - Phone:215-421-1634
Mailing Address - Fax:
Practice Address - Street 1:121 N MAIN ST
Practice Address - Street 2:SUITE 108A
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1715
Practice Address - Country:US
Practice Address - Phone:215-421-1634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-06
Last Update Date:2010-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW016443251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health