Provider Demographics
NPI:1063200368
Name:GROW WITH THE FLOW, MENTAL HEALTH COUNSELING, PLLC
Entity type:Organization
Organization Name:GROW WITH THE FLOW, MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SQUILLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-835-6392
Mailing Address - Street 1:45 VIRGINIA BLVD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12302-2816
Mailing Address - Country:US
Mailing Address - Phone:631-835-6392
Mailing Address - Fax:
Practice Address - Street 1:45 VIRGINIA BLVD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12302-2816
Practice Address - Country:US
Practice Address - Phone:631-835-6392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty