# GROUNDEDSIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053277442
- **Authorized official:** IVANA SPENCER APRN,PMHNP-BC (OWNER)
- **Authorized official phone:** (804) 825-2308

## Contact information

- **Practice address:** 6372 MECHANICSVILLE TPKE STE 111, MECHANICSVILLE, VA 23111-4705
- **Practice address phone:** (804) 825-2308
- **Practice address fax:** (804) 964-9870
- **Mailing address:** 1601 WILLOW LAWN DR STE 304, RICHMOND, VA 23230-3423
- **Mailing address phone:** (804) 825-2308
- **Mailing address fax:** (804) 964-9870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2025
- **Last updated:** 12/29/2025