Provider Demographics
NPI:1851254114
Name:RECIPROCAL GROWTH THERAPY PLLC
Entity type:Organization
Organization Name:RECIPROCAL GROWTH THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-519-9333
Mailing Address - Street 1:1149 W FARWELL AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-6508
Mailing Address - Country:US
Mailing Address - Phone:303-519-9333
Mailing Address - Fax:
Practice Address - Street 1:1149 W FARWELL AVE APT 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-6508
Practice Address - Country:US
Practice Address - Phone:303-519-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty