MEDICARE: GROWTH THROUGH HEALING 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1629861315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROWTH THROUGH HEALING LLC

Provider Business Mailing Address
First Line	:	2890 56TH AVENUE CIR E
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34203-5371
Country	:	US
Telephone Number	:	941-296-5068
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 CONSTITUTION BLVD STE 118
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-4146
Country	:	US
Telephone Number	:	941-567-7085
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	MS. KATHERINE BERNAL
Credential	:	LCSW
Telephone Number	:	941-296-5068

Provider Enumeration Date	:	05/26/2025
Last Update Date	:	01/26/2026

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