Healthcare Provider Details

I. General information

NPI: 1124896642
Provider Name (Legal Business Name): JUST GROW THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 GROVE ST
CHICOPEE MA
01020-1820
US

IV. Provider business mailing address

82 ARDMORE ST
SPRINGFIELD MA
01104-2233
US

V. Phone/Fax

Practice location:
  • Phone: 413-330-7774
  • Fax: 508-433-1871
Mailing address:
  • Phone: 413-693-9290
  • Fax: 508-433-1871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KRISTA LAWRENCE
Title or Position: OWNER
Credential: LMFT
Phone: 413-693-9290