Provider Demographics
NPI:1851130470
Name:HEALTHY THOUGHTS FOR GROWTH COUNSELING LLC
Entity type:Organization
Organization Name:HEALTHY THOUGHTS FOR GROWTH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:I
Authorized Official - Last Name:VALLECILLOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:620-757-9399
Mailing Address - Street 1:1119 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-2920
Mailing Address - Country:US
Mailing Address - Phone:620-757-9399
Mailing Address - Fax:785-588-4475
Practice Address - Street 1:1119 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-2920
Practice Address - Country:US
Practice Address - Phone:620-757-9399
Practice Address - Fax:785-588-4475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty