Provider Demographics
NPI:1538926969
Name:GROWING AWARENESS COUNSELING LLC
Entity type:Organization
Organization Name:GROWING AWARENESS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLYN
Authorized Official - Middle Name:LAGAYA
Authorized Official - Last Name:TAYLOR-TOUPIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-288-9139
Mailing Address - Street 1:116 LANDMARK SQ
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BCH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-6872
Mailing Address - Country:US
Mailing Address - Phone:757-288-9139
Mailing Address - Fax:
Practice Address - Street 1:116 LANDMARK SQ STE 103
Practice Address - Street 2:
Practice Address - City:VIRGINIA BCH
Practice Address - State:VA
Practice Address - Zip Code:23452-6872
Practice Address - Country:US
Practice Address - Phone:757-288-9139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1558039396OtherINDIVIDUAL LICENSE NUMBER