Healthcare Provider Details

I. General information

NPI: 1588543177
Provider Name (Legal Business Name): A PLACE TO GROW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 MILL GLEN DR
LEXINGTON SC
29072-4413
US

IV. Provider business mailing address

125 MILL GLEN DR
LEXINGTON SC
29072-4413
US

V. Phone/Fax

Practice location:
  • Phone: 843-749-0025
  • Fax:
Mailing address:
  • Phone: 843-749-0025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: KRISTI LYNN VANHORN
Title or Position: OWNER
Credential: MA, BCBA
Phone: 843-749-0025