# GROWTH ON THE PLAINS, LLC

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

## Provider details

- **NPI number:** 1922719186
- **Authorized official:** DEIDRE HOLLISTER LCSW, LIMHP (OWNER/THERAPIST)
- **Authorized official phone:** (308) 233-1979

## Contact information

- **Practice address:** 3710 CENTRAL AVE STE 4, KEARNEY, NE 68847-8126
- **Practice address phone:** (308) 233-1979
- **Mailing address:** 3710 CENTRAL AVE STE 4, KEARNEY, NE 68847-8126

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2022
- **Last updated:** 07/31/2023