Healthcare Provider Details

I. General information

NPI: 1356287957
Provider Name (Legal Business Name): GROW WITHIN THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6794 RUHLAND DR
FREDERICK MD
21702-1844
US

IV. Provider business mailing address

6794 RUHLAND DR
FREDERICK MD
21702-1844
US

V. Phone/Fax

Practice location:
  • Phone: 240-215-4330
  • Fax:
Mailing address:
  • Phone: 240-215-4330
  • Fax:

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: TAYLER ROWE
Title or Position: OWNER
Credential: ROWE
Phone: 240-215-4330