| Grounded Moments Therapeutic Services, Llc | |
|
26867 Ausmas Lane Magnolia TX 77355 | |
| (903) 424-3654 | |
| Not Available |
| Full Name | Grounded Moments Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 26867 Ausmas Lane, Magnolia, Texas |
| Authorized Official Name and Position | Kelly Langston (CO-OWNER) |
| Authorized Official Contact | 9034243654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Moments Therapeutic Services, Llc 12333 Sowden Rd Ste B Pmb 569926 Houston TX 77080 Ph: () - | Grounded Moments Therapeutic Services, Llc 26867 Ausmas Lane Magnolia TX 77355 Ph: (903) 424-3654 |
| NPI Number | 1093589210 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093589210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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