Organization
DIRECT GROWTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA CHAPMAN (OWNER)
(949) 312-7412
Entity
Organization
Contact information
Practice address
1533 N ALMA SCHOOL RD STE 3, MESA, AZ 85201-2451
(888) 492-7822
(480) 687-8151
Mailing address
1533 N ALMA SCHOOL RD STE 3, MESA, AZ 85201-2451
(949) 312-7412
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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