Organization
GROUNDED LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PERMAR (OWNER/PRACTICE MANAGER)
(402) 889-3527
Entity
Organization
Contact information
Practice address
421 SOUTH HOWES STREET, FORT COLLINS, CO 80521
(402) 889-3527
Mailing address
2519 S SHIELDS STREET, STE 1K PMB 1063, FORT COLLINS, CO 80526-1855
(402) 889-3527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/27/2025
Last updated
06/25/2025
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