Provider Demographics
NPI:1215607932
Name:GROW WITH THE FLOW COUNSELING
Entity type:Organization
Organization Name:GROW WITH THE FLOW COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MATTIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-961-1532
Mailing Address - Street 1:166 HARGRAVES DRIVE
Mailing Address - Street 2:STE. C-400 #131
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737
Mailing Address - Country:US
Mailing Address - Phone:281-961-1532
Mailing Address - Fax:
Practice Address - Street 1:13721 MESA VERDE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-4716
Practice Address - Country:US
Practice Address - Phone:281-961-1532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1033606223Medicaid