MEDICARE: HEALING AND GROWING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1083367346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING AND GROWING INC

Provider Business Mailing Address
First Line	:	8898 NAVAJO RD STE C316
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92119-2141
Country	:	US
Telephone Number	:	619-414-0042
Fax Number	:

Provider Business Practice Location Address
First Line	:	7813 TOMMY DR UNIT 63
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92119-1708
Country	:	US
Telephone Number	:	619-414-0042
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHAD K. COX
Credential	:	PSYD
Telephone Number	:	619-414-0042

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	01/27/2022

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Directions to “HEALING AND GROWING INC ” Practice Location

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