Provider Demographics
NPI:1659765758
Name:GROWING HEARTS, GROWING MINDS INC.
Entity Type:Organization
Organization Name:GROWING HEARTS, GROWING MINDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:940-220-9469
Mailing Address - Street 1:1602 SEQUOIA DR
Mailing Address - Street 2:
Mailing Address - City:KRUM
Mailing Address - State:TX
Mailing Address - Zip Code:76249-7182
Mailing Address - Country:US
Mailing Address - Phone:940-220-9469
Mailing Address - Fax:972-426-9609
Practice Address - Street 1:2524 LILLIAN MILLER PKWY
Practice Address - Street 2:SUITE 115
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-7206
Practice Address - Country:US
Practice Address - Phone:940-220-9469
Practice Address - Fax:972-426-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70653101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty