A Growth Place, Inc.

LBN: A Growth Place, Inc.
A Growth Place, Inc. is an health care organization with primary practice located at 10 Wilson Rd Suite 1, Stockbridge GA 30281-4433. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. A Growth Place, Inc. can be contacted via phone (770) 506-9575, or through Samples, Gregory T. via phone (770) 506-9575.

Contact Information

Primary practice address
10 Wilson Rd Suite 1 Stockbridge GA 30281-4433
Phone: (770) 506-9575
Fax: (770) 506-9369
Website:
Map and Directions
Authorized official contact:
Name: Samples, Gregory T. Licensed Clinical Social Worker (LCSW)
Phone: (770) 506-9575

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT000125 Georgia

Profile Details

NPI number 1073643482
LBN Legal business name A Growth Place, Inc.
DBA Doing business as
Authorized official Samples, Gregory T. Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Nov 30th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073643482 NPPES
Georgia MEDICAID 301563086A

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