| Grounded Spirit Psychology Pllc | |
|
291 Broadway Rm 1002 New York NY 10007-1883 | |
| (914) 256-2899 | |
| Not Available |
| Full Name | Grounded Spirit Psychology Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 291 Broadway Rm 1002, New York, New York |
| Authorized Official Name and Position | Gerald Pantoja (FOUNDER) |
| Authorized Official Contact | 9142562899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Spirit Psychology Pllc 2005 Palmer Ave # 765 Larchmont NY 10538-2437 Ph: () - | Grounded Spirit Psychology Pllc 291 Broadway Rm 1002 New York NY 10007-1883 Ph: (914) 256-2899 |
| NPI Number | 1891674396 |
|---|---|
| Provider Enumeration Date | 08/28/2025 |
| Last Update Date | 08/28/2025 |
| Certification Date | 08/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891674396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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