Provider Demographics
NPI:1730554957
Name:DOORS OF GROWTH
Entity type:Organization
Organization Name:DOORS OF GROWTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGILVIE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCADC
Authorized Official - Phone:970-317-5335
Mailing Address - Street 1:105 MARKET PL
Mailing Address - Street 2:SUITE 3
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08028-1406
Mailing Address - Country:US
Mailing Address - Phone:856-881-8780
Mailing Address - Fax:609-939-0510
Practice Address - Street 1:105 MARKET PL
Practice Address - Street 2:SUITE 3
Practice Address - City:GLASSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08028-1406
Practice Address - Country:US
Practice Address - Phone:856-881-8780
Practice Address - Fax:609-939-0510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health