Healthcare Provider Details

I. General information

NPI: 1972443083
Provider Name (Legal Business Name): THE GROUNDING SPACE COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 PINE RIDGE RD
JESUP GA
31545-1271
US

IV. Provider business mailing address

141 PINE RIDGE RD
JESUP GA
31545-1271
US

V. Phone/Fax

Practice location:
  • Phone: 912-216-2661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: VINCENT OYAGHA
Title or Position: OWNER
Credential:
Phone: 912-202-3060