| Organization Name: | GROWING PAINS, P.A. |
| NPI Number: | 1326162629 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY M. SMITH (PRESIDENT) |
| Mailing Address: | 75 Hampstead Vlg Hampstead |
| State: | NC US |
| Postal Code: | 284438250 |
| Phone Number: | 9102703811 |
| Fax Number: | 9102703897 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 616 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |