Provider Demographics
NPI:1740780618
Name:GROWING A BETTER YOU INC
Entity type:Organization
Organization Name:GROWING A BETTER YOU INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAURO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:631-741-2645
Mailing Address - Street 1:37 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:MASTIC
Mailing Address - State:NY
Mailing Address - Zip Code:11950-3401
Mailing Address - Country:US
Mailing Address - Phone:631-741-2645
Mailing Address - Fax:
Practice Address - Street 1:37 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:MASTIC
Practice Address - State:NY
Practice Address - Zip Code:11950-3401
Practice Address - Country:US
Practice Address - Phone:631-741-2645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GROWING A BETTER YOU INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-17
Last Update Date:2018-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0082941101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1295242246OtherBEHAVIORAL HEALTH/MENTAL HEALTH