GROWTH SPACE, PLLC (NPI# 1457918526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457918526 |
| Entity Type | Organization |
| Organization Name | GROWTH SPACE, PLLC |
| Practice Address |
19201 N 45th Dr Glendale AZ 85308-5415 |
| Practice Telephone | 6234189537 |
| Mailing Telephone | 6234189537 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | KATHRYN MCCLEARN (COUNSELOR) |
| Authorized Official Telephone | 6234189537 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
19201 N 45TH DR |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-5415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706944 | Kathryn Mcclearn | Counselor | 19201 N 45th Dr, Glendale, AZ 85308-5415 | 2019-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232904 | Free To Be Counseling | Clinic/Center | 4750 E Cherry Creek South Dr Apt G206, Glendale, CO 80246-1837 | 2020-07-07 |
| 1649896754 | Clear Path Behavioral Health Services LLC | Clinic/Center | 8768 W Gardenia Ave, Glendale, AZ 85305-6965 | 2020-06-24 |
| 1013542778 | Enhance Counseling & Wellness LLC | Clinic/Center | 17431 N 71st Dr Ste 101, Glendale, AZ 85308-8598 | 2020-03-03 |
| 1710453394 | Terros Inc | Clinic/Center | 6151-6153 W. Olive Ave, Glendale, AZ 85302-4564 | 2018-10-22 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1174728646 | Terros Inc | Clinic/Center | 6151-6153 W Olive Ave, Glendale, AZ 85302-4598 | 2007-06-15 |
| 1730793449 | Glendale Counseling Services | Clinic/Center | 100 N Brand Blvd Ste 412, Glendale, CA 91203-2614 | 2020-09-01 |
| 1649748450 | Extraordinary You/dr. Agnes Oh | Clinic/Center | 1010 N Central Ave # 315, Glendale, CA 91202-2937 | 2018-11-09 |
| 1669953287 | Michael Forbes Warden Phd Pllc | Clinic/Center | 7155 W Campo Bello Dr Ste C120, Glendale, AZ 85308-8594 | 2018-08-22 |
| 1194225417 | Wellness Connections Counseling, Pllc | Clinic/Center | 4340 E Kentucky Ave Ste 365, Glendale, CO 80246-2075 | 2018-02-13 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.