NPI 1942738695

Growing Minds PC

Organisation Mental Health Counselor Newport, VT

Practice location

Address: 124 E Main St STE 2, Newport, VT 05855-5561
Phone: (802) 327-0077
Mailing address: PO Box 622, Newport, VT 05855-0622

Authorised official

Name: Pavel Malm
Title: Owner / Director
Phone: (802) 327-0077

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 068-0000594 (VT)

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Registry record

NPI: 1942738695
Entity type: Organization
NPI issued: 25 May 2017
Record last updated: 18 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.