Healthcare Provider Details

I. General information

NPI: 1932026168
Provider Name (Legal Business Name): A GROWTH MENTALITY PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 NW 82ND AVE STE 400-3
DORAL FL
33166-6652
US

IV. Provider business mailing address

3625 NW 82ND AVE STE 400-3
DORAL FL
33166-6652
US

V. Phone/Fax

Practice location:
  • Phone: 786-505-5037
  • Fax:
Mailing address:
  • Phone: 786-505-5037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. STACY DAVIS
Title or Position: OWNER
Credential: PSY.D
Phone: 786-505-5037