Healthcare Provider Details

I. General information

NPI: 1306765904
Provider Name (Legal Business Name): GROWING EDGES THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 WOODLAND SQUARE LOOP SE
LACEY WA
98503-1000
US

IV. Provider business mailing address

677 WOODLAND SQUARE LOOP SE
LACEY WA
98503-1000
US

V. Phone/Fax

Practice location:
  • Phone: 360-338-2106
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AMARA KRAMER
Title or Position: OWNER
Credential:
Phone: 360-338-2106