MEDICARE: GROWTHLAB THERAPY GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1144171562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROWTHLAB THERAPY GROUP LLC

Provider Business Mailing Address
First Line	:	8440 N SAM HOUSTON PKWY E APT 1035
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-2974
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8440 N SAM HOUSTON PKWY E
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-2993
Country	:	US
Telephone Number	:	786-679-1045
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINA LANIER
Credential	:
Telephone Number	:	786-679-1045

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	03/31/2026

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Directions to “GROWTHLAB THERAPY GROUP LLC ” Practice Location

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