MEDICARE: GROW TOGETHER COACHING

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	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1730013947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROW TOGETHER COACHING

Provider Business Mailing Address
First Line	:	410 VICTORY GARDEN DR UNIT 2113
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-3261
Country	:	US
Telephone Number	:	352-494-2805
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 VICTORY GARDEN DR UNIT 2113
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-3261
Country	:	US
Telephone Number	:	352-494-2805
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	KRISTEN WOOD
Credential	:	M.S., CCC-SLP
Telephone Number	:	352-494-2805

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “GROW TOGETHER COACHING ” Practice Location

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