| Grounded Healing Therapy | |
|
334 Mivida Dr Moab UT 84532-2149 | |
| (505) 633-5470 | |
| Not Available |
| Full Name | Grounded Healing Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 334 Mivida Dr, Moab, Utah |
| Authorized Official Name and Position | Jacquelin Hahn (OWNER) |
| Authorized Official Contact | 5056335470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Healing Therapy 375 S Main St # 322 Moab UT 84532-2557 Ph: (505) 633-5470 | Grounded Healing Therapy 334 Mivida Dr Moab UT 84532-2149 Ph: (505) 633-5470 |
| NPI Number | 1033950399 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033950399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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