| Growing Forward, Inc. | |
|
21 Canal St #201 Westerly RI 02891-1587 | |
| (401) 596-8830 | |
| (401) 596-8802 |
| Full Name | Growing Forward, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 21 Canal St, Westerly, Rhode Island |
| Authorized Official Name and Position | Lauri Maynard (OWNER) |
| Authorized Official Contact | 4015968830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Forward, Inc. 111 Pawcatuck Ave Pawcatuck CT 06379-2432 Ph: (401) 596-8830 | Growing Forward, Inc. 21 Canal St #201 Westerly RI 02891-1587 Ph: (401) 596-8830 |
| NPI Number | 1487193827 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 02/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487193827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MHC00300 (Rhode Island) | Primary |
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