Healthcare Provider Details

I. General information

NPI: 1649192147
Provider Name (Legal Business Name): GROUNDED RESILIENCE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 W PLANT ST
WINTER GARDEN FL
34787-3004
US

IV. Provider business mailing address

504 W PLANT ST PMB167
WINTER GARDEN FL
34787-3004
US

V. Phone/Fax

Practice location:
  • Phone: 407-801-2262
  • Fax:
Mailing address:
  • Phone: 407-801-2262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RACHEL DAVIS
Title or Position: PRESIDENT
Credential: LCSW
Phone: 407-801-2262