Healthcare Provider Details

I. General information

NPI: 1275453110
Provider Name (Legal Business Name): GUIDED GROWTH THERAPEUTIC SERVICES, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 TRUXTUN AVE STE 805
BAKERSFIELD CA
93301-5226
US

IV. Provider business mailing address

1430 TRUXTUN AVE STE 805
BAKERSFIELD CA
93301-5226
US

V. Phone/Fax

Practice location:
  • Phone: 661-237-3537
  • Fax: 661-558-1521
Mailing address:
  • Phone: 661-237-3537
  • Fax: 661-558-1521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MEGAN MALLOY
Title or Position: OWNER/LCSW
Credential: LCSW
Phone: 661-237-3537