Provider Demographics
NPI:1528889813
Name:SEEDS OF GROWTH PSYCHIATRIC SERVICES LLC
Entity type:Organization
Organization Name:SEEDS OF GROWTH PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:ERLINGSON
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:860-508-9938
Mailing Address - Street 1:65 OLD NORTH RD
Mailing Address - Street 2:
Mailing Address - City:BARKHAMSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06063-3459
Mailing Address - Country:US
Mailing Address - Phone:860-508-9938
Mailing Address - Fax:855-309-9413
Practice Address - Street 1:65 OLD NORTH RD
Practice Address - Street 2:
Practice Address - City:BARKHAMSTED
Practice Address - State:CT
Practice Address - Zip Code:06063-3459
Practice Address - Country:US
Practice Address - Phone:860-508-9938
Practice Address - Fax:855-309-9413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty