Provider Demographics
NPI:1962954719
Name:GROW YOUR OWN WAY COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:GROW YOUR OWN WAY COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:FELDMAN
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:603-493-2679
Mailing Address - Street 1:94 RIVER RD
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-5241
Mailing Address - Country:US
Mailing Address - Phone:603-493-2679
Mailing Address - Fax:
Practice Address - Street 1:94 RIVER RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-5241
Practice Address - Country:US
Practice Address - Phone:603-493-2679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1218261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health