# GROW YOURSELF GREAT COUNSELING AND CONSULTING PLLC

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

## Provider details

- **NPI number:** 1326646514
- **Authorized official:** INOBEME POLK LCSW-A (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (704) 219-7306

## Contact information

- **Practice address:** 1905 J N PEASE PL, CHARLOTTE, NC 28262-4557
- **Practice address phone:** (704) 219-7306
- **Mailing address:** 3020 PROSPERITY CHURCH RD \# 905, CHARLOTTE, NC 28269-7197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2020
- **Last updated:** 10/11/2020