Organization
GROW IT FORWARD, LLC
Active
Other names
Thomas King
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS EDWARD KING MSW,LICSW (OWNER)
(651) 389-4002
Entity
Organization
Contact information
Practice address
3820 CLEVELAND AVE N, SUITE 400, ARDEN HILLS, MN 55112-3285
(651) 389-4402
(651) 389-4410
Mailing address
3820 CLEVELAND AVE N, SUITE 400, ARDEN HILLS, MN 55112-3285
(651) 389-4402
(651) 389-4410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5391
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851490361
INDIVIDUAL NPI
MN
01
—
6272579
UNITED BEHAVIORAL HEALTH
MN
05
—
658794100
—
MN
01
—
79B37KI
BLUE CROSS
MN
01
—
HP23667
HEALTH PARTNERS
MN
Enumeration date
10/20/2006
Last updated
10/16/2008
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