Provider Demographics
NPI:1861163164
Name:GROWTH COUNSELING CENTER, INC.
Entity type:Organization
Organization Name:GROWTH COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEFFANI
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-971-5174
Mailing Address - Street 1:17350 STATE HWY 249
Mailing Address - Street 2:STE 220 #7784
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064
Mailing Address - Country:US
Mailing Address - Phone:469-556-2006
Mailing Address - Fax:
Practice Address - Street 1:306 CHERRYWOOD TRL
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6860
Practice Address - Country:US
Practice Address - Phone:214-971-5174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-26
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty