| NPI | 1386344653 |
|---|---|
| Doing Business As | GROWTHSPACE PRACTICE, LLC |
| Entity Type | Organization |
| Authorized Contact | TRACEE JOY FRANCIS Founder & Clinical Psychologist 773-259-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |