Grounded Living Therapy, Llc | |
5000 Thayer Ctr Ste C Oakland MD 21550-1139 | |
(410) 204-1775 | |
Not Available |
Full Name | Grounded Living Therapy, Llc |
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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 |
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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 |
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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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