Healthcare Provider Details

I. General information

NPI: 1407773393
Provider Name (Legal Business Name): GROUNDED PATHS COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BRIGHTON CIR
EVANS GA
30809-8266
US

IV. Provider business mailing address

600 BRIGHTON CIR
EVANS GA
30809-8266
US

V. Phone/Fax

Practice location:
  • Phone: 513-607-8334
  • Fax:
Mailing address:
  • Phone: 513-607-8334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDREA ANDERSON
Title or Position: FOUNDER
Credential: LMHC, LPC
Phone: 762-499-4063