# GROUNDED GUIDANCE PSYCHIATRY AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1265207310
- **Authorized official:** DOMINIQUE POPE CRNP-PMH (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (443) 851-6992

## Contact information

- **Practice address:** 4914 ORCHARD DR, ELLICOTT CITY, MD 21043-6725
- **Practice address phone:** (443) 851-6992
- **Mailing address:** 4914 ORCHARD DR, ELLICOTT CITY, MD 21043-6725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2023
- **Last updated:** 01/21/2024