Organization
GROUNDED STARS LLC
Active
Other names
Grounded Stars LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIERRA ELSIE WATSON MHA (CHIEF ADMINISTRATIVE OFFICER)
(803) 280-6982
Entity
Organization
Contact information
Practice address
1850 AMSTERDAM AVENUE, NEW YORK, NY 10031
(914) 294-4639
(917) 277-7178
Mailing address
535 FIFTH AVENUE, 4TH FLOOR, #1021, NEW YORK, NY 10017
(914) 294-4639
(917) 277-7178
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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