Growing Edges Llc is a Clinical in Buckeye, Arizona. Growing Edges Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Growing Edges Llc is 1073739660. The last update date is 2022-09-21.
Growing Edges Llc's current location address is 19580 W Indian School Rd Ste 105-134, Buckeye, Arizona. You can contact this provider via phone number 6025481444 and fax number 6025481446. The mailing address for Growing Edges Llc is 19580 W Indian School Rd Ste 105-134, Buckeye, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Growing Edges Llc |
|---|---|
| Address | 19580 W Indian School Rd Ste 105-134, Buckeye, Arizona |
| Phone Number | 6025481444 |
| Fax Number | 6025481446 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Swartout Ilyssa |
| Credentials | PSY.D. |
| Telephone Number | 6025481444 |
NPI Number Detail
| NPI Number | 1073739660 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2022-09-21 |
Provider Mailing Address Detail
| Address | 19580 W Indian School Rd Ste 105-134 |
|---|---|
| City | Buckeye |
| State | Arizona (AZ) |
| Post Code | 853962081 |
| Phone Number | 6025481444 |
| Fax Number | 6025481446 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Growing Edges Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Growing Edges Llc has been assigned the NPI (National Provider Identifier) 1073739660. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Growing Edges Llc is physically located?
The Growing Edges Llc is situated at the following address: 19580 W Indian School Rd Ste 105-134, Buckeye, AZ 853962081.
What is Growing Edges Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Growing Edges Llc is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Growing Edges Llc receive its 1073739660 assignment from the Centers for Medicare & Medicaid Services?
The Growing Edges Llc was assigned its 1073739660 on 2007-04-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Growing Edges Llc most recently updated or revised?
The details related to Growing Edges Llc, including its address, specialty, and other relevant information, were last updated or revised on 2022-09-21.
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