MEDICARE: GROWING TOGETHER THERAPY LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1427903350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROWING TOGETHER THERAPY LLC

Provider Business Mailing Address
First Line	:	50996 SUMMIT VIEW DR
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48042-1742
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	50996 SUMMIT VIEW DR
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48042-1742
Country	:	US
Telephone Number	:	586-307-4413
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALYXANDRE DEANER
Credential	:
Telephone Number	:	586-307-4413

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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