Provider Demographics
NPI:1154991768
Name:GROW YOUR MIND PSYCHOTHERAPY, LLC
Entity type:Organization
Organization Name:GROW YOUR MIND PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINGYING
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-893-4733
Mailing Address - Street 1:1220 E WEST HWY APT 1216
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-6211
Mailing Address - Country:US
Mailing Address - Phone:301-893-4733
Mailing Address - Fax:
Practice Address - Street 1:8720 GEORGIA AVE STE 906
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3635
Practice Address - Country:US
Practice Address - Phone:301-893-4733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-26
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty