Provider Demographics
NPI:1609597202
Name:GROWING PLACES COUNSELING, PLLC
Entity Type:Organization
Organization Name:GROWING PLACES COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCSW
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:N
Authorized Official - Last Name:GASS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:870-204-2875
Mailing Address - Street 1:1217 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-2509
Mailing Address - Country:US
Mailing Address - Phone:870-204-2875
Mailing Address - Fax:888-412-3702
Practice Address - Street 1:1217 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2509
Practice Address - Country:US
Practice Address - Phone:870-204-2875
Practice Address - Fax:888-412-3702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR8713-COtherLCSW