Provider Demographics
NPI:1144667916
Name:THE PLACE TO GROW, PLLC
Entity type:Organization
Organization Name:THE PLACE TO GROW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER.FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-293-2526
Mailing Address - Street 1:13000 S TRYON ST
Mailing Address - Street 2:STE F #226
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-7602
Mailing Address - Country:US
Mailing Address - Phone:512-293-1516
Mailing Address - Fax:210-362-1824
Practice Address - Street 1:13000 S TRYON ST
Practice Address - Street 2:STE F #226
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7602
Practice Address - Country:US
Practice Address - Phone:512-293-1516
Practice Address - Fax:210-362-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty