=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578258505
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SKILLS FOR GROWTH, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2023
-----------------------------------------------------
Last Update Date | 05/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1032 W 24TH ST
-----------------------------------------------------
City | NORFOLK
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23517-1013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-937-0555
-----------------------------------------------------
Fax | 757-530-8610
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1032 W 24TH ST
-----------------------------------------------------
City | NORFOLK
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23517-1013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-937-0555
-----------------------------------------------------
Fax | 757-530-8610
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | CIERA N RICKS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 757-806-0282
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------