Provider Demographics
NPI:1619250099
Name:GROW HEAL LOVE, INC
Entity Type:Organization
Organization Name:GROW HEAL LOVE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PMH-C, LCAS
Authorized Official - Phone:786-337-1489
Mailing Address - Street 1:1108 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2924
Mailing Address - Country:US
Mailing Address - Phone:786-337-1489
Mailing Address - Fax:
Practice Address - Street 1:1777 FORDHAM BLVD STE 202-6
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5859
Practice Address - Country:US
Practice Address - Phone:888-204-8409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-22
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGH635AMedicare UPIN