OrganizationInner Growth Therapy LlcCounselorBehavioral Health & Social Service ProvidersPractice Address1 Centre Street Ter Apt 1a, Roxbury, MA 02119-1488(857) 492-4229(617) 681-4999PECOS EnrollmentBased on the most recent information from CMS, provider Inner Growth Therapy Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215669106Provider TypeOrganizationFull NameInner Growth Therapy LlcSubpartNoEnumeration Date6/29/2022Last Updated6/29/2022Contact InformationPractice LocationPractice Address1 Centre Street Ter Apt 1a, Roxbury, MA 02119-1488Phone(857) 492-4229FaxUnlisted FaxMailing LocationMailing Address28 Church Street, Suite 14 # 915, Winchester, MA 01890-2538Phone(617) 681-4999FaxUnlisted FaxAuthorized OfficialNameRodriguez-Ortiz, Minelia (Psychotherapist)Phone(857) 492-4229Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer