MEDICARE: GROW IN GRACE BEHAVIORAL HEALTH, PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1467309682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROW IN GRACE BEHAVIORAL HEALTH, PLLC

Provider Business Mailing Address
First Line	:	5412 ROCKY BRANCH DR APT 302
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-5199
Country	:	US
Telephone Number	:	910-512-4436
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 W TREMONT AVE STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-4902
Country	:	US
Telephone Number	:	980-287-5320
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST/OWNER
Name	:	BRITTANY COLLINS
Credential	:	LCSW, LCAS-A
Telephone Number	:	980-287-5320

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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