Organization
GROUNDED LIVING THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KELLEHER LCPC (FOUNDER)
(410) 204-1775
Entity
Organization
Contact information
Practice address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(410) 204-1775
Mailing address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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