MEDICARE: GROUNDED IN GROWTH MENTAL HEALTH COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1194668806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROUNDED IN GROWTH MENTAL HEALTH COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	87 MACGREGOR AVE
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1908
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	87 MACGREGOR AVE
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1908
Country	:	US
Telephone Number	:	631-413-2843
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LIOR SOLAIMANI
Credential	:	LMHC
Telephone Number	:	631-413-2843

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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