Provider Demographics
NPI:1023435849
Name:GROWING POTENTIAL LLC
Entity type:Organization
Organization Name:GROWING POTENTIAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BERKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-819-6751
Mailing Address - Street 1:1041 LINCOLN AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-5024
Mailing Address - Country:US
Mailing Address - Phone:970-819-6751
Mailing Address - Fax:
Practice Address - Street 1:1041 LINCOLN AVE STE 120
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-5024
Practice Address - Country:US
Practice Address - Phone:970-819-6751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty