| Grounded Space Mental Health Counseling Pllc | |
|
320 62nd St Apt 303 West New York NJ 07093-2449 | |
| (918) 574-4728 | |
| Not Available |
| Full Name | Grounded Space Mental Health Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 320 62nd St Apt 303, West New York, New Jersey |
| Authorized Official Name and Position | Micah Phillipsplant (OWNER) |
| Authorized Official Contact | 9185744728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Space Mental Health Counseling Pllc 2248 Broadway # 1849 New York NY 10024-5805 Ph: (918) 574-4728 | Grounded Space Mental Health Counseling Pllc 320 62nd St Apt 303 West New York NJ 07093-2449 Ph: (918) 574-4728 |
| NPI Number | 1902629355 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902629355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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