| Gracefully Grounded Llc | |
|
117 W Pinhook Rd Lafayette LA 70501-8833 | |
| (337) 891-6497 | |
| Not Available |
| Full Name | Gracefully Grounded Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 117 W Pinhook Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Janell Michelle Cormier (OWNER) |
| Authorized Official Contact | 3377891649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracefully Grounded Llc 117 W Pinhook Rd Lafayette LA 70501-8833 Ph: (337) 789-1649 | Gracefully Grounded Llc 117 W Pinhook Rd Lafayette LA 70501-8833 Ph: (337) 891-6497 |
| NPI Number | 1225852452 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225852452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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