# GROUNDED MOMENTS THERAPEUTIC SERVICES, LLC

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

## Provider details

- **NPI number:** 1093589210
- **Authorized official:** KELLY LANGSTON LPC ASSOCIATE (CO-OWNER)
- **Authorized official phone:** (903) 424-3654

## Contact information

- **Practice address:** 26867 AUSMAS LANE, MAGNOLIA, TX 77355
- **Practice address phone:** (903) 424-3654
- **Mailing address:** 12333 SOWDEN RD STE B, PMB 569926, HOUSTON, TX 77080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 11/08/2023
