| Grounded Therapy & Coaching | |
|
11 Main St Mystic CT 06355-3654 | |
| (860) 629-0029 | |
| Not Available |
| Full Name | Grounded Therapy & Coaching |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11 Main St, Mystic, Connecticut |
| Authorized Official Name and Position | Rachel Dash-dougherty (CEO) |
| Authorized Official Contact | 8606290029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Therapy & Coaching 11 Main St Mystic CT 06355-3654 Ph: (860) 629-0029 | Grounded Therapy & Coaching 11 Main St Mystic CT 06355-3654 Ph: (860) 629-0029 |
| NPI Number | 1467005736 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 07/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467005736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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