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Contact Information

GROWING EDGES LLC
20779 W SAN MIGUEL AVE
BUCKEYE, AZ85396-4609
 Phone: 602-980-9313
 Fax: 602-548-1446
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GROWING EDGES LLC

NPI Number 1073739660
LBN Legal business name GROWING EDGES LLC
Authorized official ILYSSA SWARTOUT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 04/09/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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