# GROWELL THERAPY COLLECTIVE, PLLC

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

## Provider details

- **NPI number:** 1740185719
- **Authorized official:** JESSICA MOUZON LCMHC (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (704) 954-8023

## Contact information

- **Practice address:** 8116 S TRYON ST UNIT B3204, CHARLOTTE, NC 28273-4300
- **Practice address phone:** (704) 954-8023
- **Mailing address:** 8116 S TRYON ST UNIT B3204, CHARLOTTE, NC 28273-4300
- **Mailing address phone:** (704) 954-8023

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2026
- **Last updated:** 10/10/2026