Healthcare Provider Details
I. General information
NPI: 1609794544
Provider Name (Legal Business Name): GROWING IN GRACE MENTAL HEALTH COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
92 BROADWAY STE 216
GREENLAWN NY
11740-1328
US
IV. Provider business mailing address
92 BROADWAY STE 216
GREENLAWN NY
11740-1328
US
V. Phone/Fax
- Phone: 631-533-5185
- Fax: 631-462-2430
- Phone: 631-533-5185
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAWN
MARIE
LOSHIGIAN
Title or Position: OWNER
Credential: PSYD, LP, LMHC
Phone: 631-533-5185