| Grounded Living Therapy, Llc | |
|
5000 Thayer Ctr Ste C Oakland MD 21550-1139 | |
| (410) 204-1775 | |
| Not Available |
| Full Name | Grounded Living Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5000 Thayer Ctr Ste C, Oakland, Maryland |
| Authorized Official Name and Position | Kimberly Kelleher (FOUNDER) |
| Authorized Official Contact | 4102041775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Living Therapy, Llc 5000 Thayer Ctr Ste C Oakland MD 21550-1139 Ph: () - | Grounded Living Therapy, Llc 5000 Thayer Ctr Ste C Oakland MD 21550-1139 Ph: (410) 204-1775 |
| NPI Number | 1609619147 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609619147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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