Provider Demographics
NPI:1730501172
Name:GROWING SELF LLC
Entity Type:Organization
Organization Name:GROWING SELF LLC
Other - Org Name:GROWING SELF COUNSELING AND LIFE COACHING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOBBY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:720-370-1800
Mailing Address - Street 1:10955 WESTMOOR DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-2704
Mailing Address - Country:US
Mailing Address - Phone:720-370-1800
Mailing Address - Fax:
Practice Address - Street 1:10955 WESTMOOR DR
Practice Address - Street 2:SUITE 400
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-2704
Practice Address - Country:US
Practice Address - Phone:720-370-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-18
Last Update Date:2014-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO881106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty