Organization
GROUNDED WELLBEING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DEVANE LCSW (OWNER)
(470) 966-0181
Entity
Organization
Contact information
Practice address
235 E PONCE DE LEON AVE # 320, DECATUR, GA 30030-3452
(678) 506-1175
Mailing address
235 E PONCE DE LEON AVE # 320, DECATUR, GA 30030-3452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
03/07/2025
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