Healthcare Provider Details
I. General information
NPI: 1639096951
Provider Name (Legal Business Name): GROWING HOPE THERAPY
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
1364 SILVER FOX LN
LABELLE FL
33935-3433
US
IV. Provider business mailing address
1364 SILVER FOX LN
LABELLE FL
33935-3433
US
V. Phone/Fax
- Phone: 863-373-9563
- Fax: 863-373-9563
- Phone: 863-373-9563
- Fax: 863-373-9563
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALLISON
FAYE
POFF
Title or Position: OWNER
Credential: LCSW
Phone: 863-373-9563