Organization
GRACEFULLY GROUNDED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JANELL MICHELLE CORMIER (OWNER)
(337) 789-1649
Entity
Organization
Contact information
Practice address
117 W PINHOOK RD, LAFAYETTE, LA 70501-8833
(337) 891-6497
Mailing address
117 W PINHOOK RD, LAFAYETTE, LA 70501-8833
(337) 789-1649
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
12/17/2024
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