Provider Demographics
NPI:1063296184
Name:GROW COUNSELING
Entity type:Organization
Organization Name:GROW COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL CLINICAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:612-429-7437
Mailing Address - Street 1:5524 THOMAS AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55410-2544
Mailing Address - Country:US
Mailing Address - Phone:612-429-7437
Mailing Address - Fax:
Practice Address - Street 1:5524 THOMAS AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55410-2544
Practice Address - Country:US
Practice Address - Phone:612-429-7437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health