Organization
BE GROUNDED YOGA LLC
Active
Other names
Be Grounded Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA SMITH LMFT (OWNER)
(608) 445-6697
Entity
Organization
Contact information
Practice address
6601 GRAND TETON PLZ STE B3, MADISON, WI 53719-1056
(608) 535-6383
Mailing address
5796 COUNTY ROAD A, OREGON, WI 53575-2669
(608) 445-6697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43701500
—
WI
Enumeration date
01/02/2023
Last updated
07/09/2024
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