Provider Demographics
NPI:1689557092
Name:GROWING FURTHER COACHING PLLC
Entity type:Organization
Organization Name:GROWING FURTHER COACHING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-916-7107
Mailing Address - Street 1:PO BOX 468
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60454-0468
Mailing Address - Country:US
Mailing Address - Phone:773-916-7107
Mailing Address - Fax:
Practice Address - Street 1:900 RAVINIA PL
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4604
Practice Address - Country:US
Practice Address - Phone:773-916-7107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health