# GROWTH SPACE, PLLC

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

## Provider details

- **NPI number:** 1225889868
- **Authorized official:** KATHERINE STANGLIN LICSW (OWNER, THERAPIST)
- **Authorized official phone:** (903) 224-2262

## Contact information

- **Practice address:** 100 INDEPENDENCE PL STE 201, TYLER, TX 75703-1327
- **Practice address phone:** (903) 224-2262
- **Mailing address:** 6417 PENN AVE S STE 7-216, MINNEAPOLIS, MN 55423-1186
- **Mailing address phone:** (903) 224-2262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2024
- **Last updated:** 04/01/2024