Healthcare Provider Details

I. General information

NPI: 1477457596
Provider Name (Legal Business Name): GROWTH IN HEALING COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 TWIN ST
BONNE TERRE MO
63628-1850
US

IV. Provider business mailing address

220 TWIN ST
BONNE TERRE MO
63628-1850
US

V. Phone/Fax

Practice location:
  • Phone: 573-631-2350
  • Fax:
Mailing address:
  • Phone: 573-631-2350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: TONYA MILLS
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 573-631-2350