# THE COMMON GROUNDS BEHAVIORAL HEALTH, INC.

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

## Provider details

- **NPI number:** 1124933239
- **Authorized official:** KHADIJAH ALI CBHCMS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (850) 728-7007

## Contact information

- **Practice address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
- **Practice address phone:** (850) 728-7007
- **Mailing address:** 1700 N MONROE ST STE 11-142, TALLAHASSEE, FL 32303-5535
- **Mailing address phone:** (850) 728-7007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2026
- **Last updated:** 08/14/2026