Organization
GROUNDED HEALING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA COLLAZO PSYD (CLINICAL PSYCHOLOGIST)
(312) 620-5241
Entity
Organization
Contact information
Practice address
917 W 18TH ST STE 203, CHICAGO, IL 60608-2400
(312) 620-5241
(312) 680-5655
Mailing address
917 W 18TH ST STE 203, CHICAGO, IL 60608-2400
(312) 620-5241
(312) 680-5655
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/25/2021
Last updated
04/10/2026
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