Provider Demographics
NPI:1174146450
Name:GROW BEHAVIORAL CONCEPTS LLC.
Entity type:Organization
Organization Name:GROW BEHAVIORAL CONCEPTS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-530-2297
Mailing Address - Street 1:6430 COURT RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-4462
Mailing Address - Country:US
Mailing Address - Phone:832-530-2297
Mailing Address - Fax:
Practice Address - Street 1:6430 COURT RD BLDG A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-4462
Practice Address - Country:US
Practice Address - Phone:832-530-2297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No251B00000XAgenciesCase Management