| Grounded In Growth Llc | |
|
416 Plymouth Ave Ne Grand Rapids MI 49505 | |
| (586) 944-4146 | |
| Not Available |
| Full Name | Grounded In Growth Llc |
|---|---|
| Speciality | Psychologist |
| Location | 416 Plymouth Ave Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Nicole Marganti (PSYCHOLOGIST) |
| Authorized Official Contact | 5869444146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded In Growth Llc 1629 Lake Dr Se Grand Rapids MI 49506-2860 Ph: () - | Grounded In Growth Llc 416 Plymouth Ave Ne Grand Rapids MI 49505 Ph: (586) 944-4146 |
| NPI Number | 1740914316 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 07/11/2022 |
| Certification Date | 06/16/2022 |
| Medicare PECOS PAC ID | 1850759622 |
|---|---|
| Medicare Enrollment ID | O20230627000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740914316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melanie Tramper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598394702 PECOS PAC ID: 4789042565 Enrollment ID: I20230627001069 |
| Provider Name | Nicole Marganti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073926457 PECOS PAC ID: 8921468141 Enrollment ID: I20230720000542 |
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