Provider Demographics
NPI:1144863648
Name:HEALING AND GROWTH COUNSELING LLC
Entity type:Organization
Organization Name:HEALING AND GROWTH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, PIP
Authorized Official - Phone:256-999-0727
Mailing Address - Street 1:1026 JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:AL
Mailing Address - Zip Code:35760-8870
Mailing Address - Country:US
Mailing Address - Phone:256-509-7771
Mailing Address - Fax:256-999-0729
Practice Address - Street 1:605 E LAUREL ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-2043
Practice Address - Country:US
Practice Address - Phone:256-999-0727
Practice Address - Fax:256-999-0729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty