Organization
GROUNDED SPACE MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICAH PHILLIPSPLANT LMHC (OWNER)
(918) 574-4728
Entity
Organization
Contact information
Practice address
320 62ND ST APT 303, WEST NEW YORK, NJ 07093-2449
(918) 574-4728
Mailing address
2248 BROADWAY # 1849, NEW YORK, NY 10024-5805
(918) 574-4728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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