Organization
GATEWAY TO GROWTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACQUELINE MITCHELL ELLIS LCSW-C (OWNER AND LCSW-C)
(240) 397-4356
Entity
Organization
Contact information
Practice address
5144 DOUBS RD, ADAMSTOWN, MD 21710-8919
(240) 397-4356
Mailing address
5144 DOUBS RD, ADAMSTOWN, MD 21710-8919
(240) 397-4356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/03/2025
Last updated
02/06/2026
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