Provider Demographics
NPI:1891987798
Name:PERSONAL GROWTH INC
Entity Type:Organization
Organization Name:PERSONAL GROWTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:F
Authorized Official - Last Name:WOHLFEIL
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHD EDD
Authorized Official - Phone:417-338-4343
Mailing Address - Street 1:412 NOTCH LANE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BRANSON WEST
Mailing Address - State:MO
Mailing Address - Zip Code:65737-8891
Mailing Address - Country:US
Mailing Address - Phone:417-338-4343
Mailing Address - Fax:
Practice Address - Street 1:412 NOTCH LANE
Practice Address - Street 2:SUITE 6
Practice Address - City:BRANSON WEST
Practice Address - State:MO
Practice Address - Zip Code:65737-8891
Practice Address - Country:US
Practice Address - Phone:417-338-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101YP2500X, 1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty