# THE GROWTH GROVE PSYCHOLOGICAL SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1245177781
- **Authorized official:** DR. JONATHAN FERGUSON PHD (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (678) 653-0314

## Contact information

- **Practice address:** 1827 POWERS FERRY RD SE BLDG 22, ATLANTA, GA 30339-5621
- **Practice address phone:** (770) 953-4744
- **Practice address fax:** (770) 953-4640
- **Mailing address:** 1827 POWERS FERRY RD SE BLDG 22, ATLANTA, GA 30339-5621
- **Mailing address phone:** (770) 953-4744
- **Mailing address fax:** (770) 953-4640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2026
- **Last updated:** 05/01/2026