Provider Demographics
NPI:1831798537
Name:SPIRAL GROWTH COUNSELING, LLC
Entity type:Organization
Organization Name:SPIRAL GROWTH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGER, CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRASSLETT
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LCMHC
Authorized Official - Phone:207-358-0766
Mailing Address - Street 1:36 3RD ST APT 5
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6165
Mailing Address - Country:US
Mailing Address - Phone:207-358-0766
Mailing Address - Fax:
Practice Address - Street 1:36 3RD ST APT 5
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6165
Practice Address - Country:US
Practice Address - Phone:207-358-0766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty