Healthcare Provider Details

I. General information

NPI: 1063246981
Provider Name (Legal Business Name): GROWTH & HEALING THERAPY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2024
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 W LINCOLN HWY STE 40
EXTON PA
19341-2521
US

IV. Provider business mailing address

407 W LINCOLN HWY STE 40
EXTON PA
19341-2521
US

V. Phone/Fax

Practice location:
  • Phone: 484-402-6027
  • Fax:
Mailing address:
  • Phone: 484-402-6027
  • Fax: 484-869-7535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JESSICA VENTURA
Title or Position: FOUNDER/MEMBER
Credential: LPC, LPCMH (DE)
Phone: 484-402-6027