# STORY OF GROWTH LLC

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

## Provider details

- **NPI number:** 1457105793
- **Authorized official:** LAURA NICKLIN (OWNER)
- **Authorized official phone:** (803) 317-0780

## Contact information

- **Practice address:** 801 GERVAIS ST STE 2B, COLUMBIA, SC 29201-3125
- **Practice address phone:** (803) 888-6714
- **Mailing address:** 801 GERVAIS ST STE 2B, COLUMBIA, SC 29201-3125

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2024
- **Last updated:** 12/05/2024