Organization
THE GROUNDED SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RY SHAVLIK (OWNER)
(765) 398-4645
Entity
Organization
Contact information
Practice address
333 W DRAKE RD STE 270, FORT COLLINS, CO 80526-6319
(765) 398-4645
Mailing address
333 W DRAKE RD STE 270, FORT COLLINS, CO 80526-6319
(765) 398-4645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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