Provider Demographics
NPI:1144812496
Name:GROWING UNCOMMON MINDSETS
Entity type:Organization
Organization Name:GROWING UNCOMMON MINDSETS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCHEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:501-310-9017
Mailing Address - Street 1:602 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3154
Mailing Address - Country:US
Mailing Address - Phone:501-310-9017
Mailing Address - Fax:
Practice Address - Street 1:1309 SAFARI DR
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-4701
Practice Address - Country:US
Practice Address - Phone:501-310-9017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health