| Grounded Therapy, Pllc | |
|
201 S Lakeline Blvd Ste 103 Cedar Park TX 78613-2719 | |
| (512) 797-6861 | |
| Not Available |
| Full Name | Grounded Therapy, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 201 S Lakeline Blvd Ste 103, Cedar Park, Texas |
| Authorized Official Name and Position | Aaron Fullmer (OWNER, THERAPIST) |
| Authorized Official Contact | 5127976861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Therapy, Pllc Po Box 4726 Lago Vista TX 78645-0008 Ph: () - | Grounded Therapy, Pllc 201 S Lakeline Blvd Ste 103 Cedar Park TX 78613-2719 Ph: (512) 797-6861 |
| NPI Number | 1902512239 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902512239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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