Provider Demographics
NPI:1548155914
Name:GROWTH & HEALING CENTER PLLC
Entity type:Organization
Organization Name:GROWTH & HEALING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PYSCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:910-233-6257
Mailing Address - Street 1:463 TANNER DR SW
Mailing Address - Street 2:
Mailing Address - City:SHALLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28470-5293
Mailing Address - Country:US
Mailing Address - Phone:910-233-6257
Mailing Address - Fax:910-782-0428
Practice Address - Street 1:117 HOLDEN BEACH RD SW STE 103
Practice Address - Street 2:
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470-1787
Practice Address - Country:US
Practice Address - Phone:910-233-6257
Practice Address - Fax:910-782-0428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty