Organization
GROUNDED IN GROWTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARGANTI PSYD, ABPP (PSYCHOLOGIST)
(586) 944-4146
Entity
Organization
Contact information
Practice address
416 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505
(586) 944-4146
Mailing address
1629 LAKE DR SE, GRAND RAPIDS, MI 49506-2860
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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