Organization · NPI-2
Grow Psychological
Clinic/Center, Mental Health (Including Community Mental Health Center) · Leawood, KS
NPI number1235865320
StatusActive
Last updated in NPPESJul 29, 2022
Details
- NPI
- 1235865320
- Entity type
- Organization (NPI-2)
- Legal business name
- Grow Psychological
- Organization subpart
- No
- Enumeration date
- Jul 29, 2022
- Certification date
- Jul 29, 2022
- Last updated
- Jul 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
4701 College Blvd Ste 115Leawood, KS 66211-1608
Phone 913-777-4020
Mailing address
2512 W 118th StLeawood, KS 66211-3032
Phone 913-980-5377
Authorized official
Jessica Lennae Schifman
Owner
9139805377
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