Provider Demographics
NPI:1962275107
Name:GROWTH MINDED
Entity type:Organization
Organization Name:GROWTH MINDED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:484-557-3199
Mailing Address - Street 1:101 E EVANS ST STE A
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2600
Mailing Address - Country:US
Mailing Address - Phone:484-887-8385
Mailing Address - Fax:
Practice Address - Street 1:101 E EVANS ST STE A
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-2600
Practice Address - Country:US
Practice Address - Phone:484-887-8385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GROWTH MINDED LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-31
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty