Healthcare Provider Details

I. General information

NPI: 1659765758
Provider Name (Legal Business Name): GROWING HEARTS, GROWING MINDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 03/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2524 LILLIAN MILLER PKWY SUITE 115
DENTON TX
76210-7206
US

IV. Provider business mailing address

1602 SEQUOIA DR
KRUM TX
76249-7182
US

V. Phone/Fax

Practice location:
  • Phone: 940-220-9469
  • Fax: 972-426-9609
Mailing address:
  • Phone: 940-220-9469
  • Fax: 972-426-9609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number70653
License Number StateTX

VIII. Authorized Official

Name: CATHERINE RICHARDSON
Title or Position: CLINICAL DIRECTOR
Credential: LPC
Phone: 940-220-9469