Provider Demographics
NPI:1790359248
Name:THE GROWTH NETWORK LLC
Entity Type:Organization
Organization Name:THE GROWTH NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCHENIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSIE-LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:609-531-0785
Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-0251
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:341 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-2512
Practice Address - Country:US
Practice Address - Phone:862-224-3395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)