| Growing Forward Llc | |
|
1432 Dennison Ave. Staunton VA 24401-1729 | |
| (540) 762-3520 | |
| Not Available |
| Full Name | Growing Forward Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1432 Dennison Ave., Staunton, Virginia |
| Authorized Official Name and Position | Rebecca Denee Gillis (OWNER) |
| Authorized Official Contact | 5407623520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Forward Llc 1432 Dennison Ave. Staunton VA 24401-1729 Ph: (540) 762-3520 | Growing Forward Llc 1432 Dennison Ave. Staunton VA 24401-1729 Ph: (540) 762-3520 |
| NPI Number | 1689327215 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689327215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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