Provider Demographics
NPI:1396512828
Name:GROWING PERSPECTIVES COUNSELING, LLC
Entity type:Organization
Organization Name:GROWING PERSPECTIVES COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:POMMIER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:620-202-2613
Mailing Address - Street 1:1202 S NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-2637
Mailing Address - Country:US
Mailing Address - Phone:620-202-2613
Mailing Address - Fax:
Practice Address - Street 1:120 S NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-1311
Practice Address - Country:US
Practice Address - Phone:620-202-2613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty