# A GROWTH PLACE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073643482
- **Authorized official:** MR. GREGORY T. SAMPLES LCSW (PRESIDENT)
- **Authorized official phone:** (770) 506-9575

## Contact information

- **Practice address:** 10 WILSON RD, SUITE 1, STOCKBRIDGE, GA 30281-4433
- **Practice address phone:** (770) 506-9575
- **Practice address fax:** (770) 506-9369
- **Mailing address:** 10 WILSON RD, SUITE 1, STOCKBRIDGE, GA 30281-4433
- **Mailing address phone:** (770) 506-9575
- **Mailing address fax:** (770) 506-9369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFT000125 | GA | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 11/30/2011