Healthcare Provider Details

I. General information

NPI: 1962343764
Provider Name (Legal Business Name): GROUNDED MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7192 KALANIANAOLE HWY STE G225
HONOLULU HI
96825-1846
US

IV. Provider business mailing address

7192 KALANIANAOLE HWY STE G225
HONOLULU HI
96825-1846
US

V. Phone/Fax

Practice location:
  • Phone: 808-427-5063
  • Fax: 866-309-9530
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY MCGOVERN
Title or Position: OWNER/ CLINICIAN
Credential: PMHNP-BC
Phone: 808-427-5063