Grow Forward Counseling Pllc | |
1645 Greens Prairie Rd W Ste 101 College Station TX 77845-8400 | |
(979) 429-3077 | |
Not Available |
Full Name | Grow Forward Counseling Pllc |
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Speciality | Marriage & Family Therapist |
Location | 1645 Greens Prairie Rd W Ste 101, College Station, Texas |
Authorized Official Name and Position | James Denzil Murphy (MANAGING MEMBER) |
Authorized Official Contact | 9794293077 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grow Forward Counseling Pllc 1645 Greens Prairie Rd W Ste 101 College Station TX 77845-8400 Ph: (979) 429-3077 | Grow Forward Counseling Pllc 1645 Greens Prairie Rd W Ste 101 College Station TX 77845-8400 Ph: (979) 429-3077 |
NPI Number | 1548031305 |
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Provider Enumeration Date | 01/11/2024 |
Last Update Date | 11/06/2024 |
Certification Date | 11/06/2024 |
Medicare PECOS PAC ID | 4486097185 |
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Medicare Enrollment ID | O20240209001756 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548031305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
Provider Name | James Denzil Murphy |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1366950016 PECOS PAC ID: 5395188098 Enrollment ID: I20240209002167 |
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