# ROOM TO GROW: THERAPY, SUPERVISION, CONSULTATION, PLLC

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

## Provider details

- **NPI number:** 1124526678
- **Authorized official:** DR. MARY SUE GREEN PH.D., LMFT (PRESIDENT)
- **Authorized official phone:** (940) 536-3644

## Contact information

- **Practice address:** 8150 US HIGHWAY 287, CHILDRESS, TX 79201-7152
- **Practice address phone:** (940) 536-3644
- **Mailing address:** 804 COMBS ST, QUANAH, TX 79252-4444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 201547 | TX | Yes |

## Other

- **Enumeration date:** 01/30/2018
- **Last updated:** 03/17/2018