| Grounded Light LLC | |
|
421 South Howes Street Fort Collins CO 80521 | |
| (402) 889-3527 | |
| Not Available |
| Full Name | Grounded Light LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 421 South Howes Street, Fort Collins, Colorado |
| Authorized Official Name and Position | Lisa Permar (OWNER/PRACTICE MANAGER) |
| Authorized Official Contact | 4028893527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Light LLC 2519 S Shields Street Ste 1k Pmb 1063 Fort Collins CO 80526-1855 Ph: (402) 889-3527 | Grounded Light LLC 421 South Howes Street Fort Collins CO 80521 Ph: (402) 889-3527 |
| NPI Number | 1003609595 |
|---|---|
| Provider Enumeration Date | 05/27/2025 |
| Last Update Date | 06/25/2025 |
| Certification Date | 06/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003609595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| 1041C0700X | Social Worker - Clinical | () | Secondary |
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