Healthcare Provider Details

I. General information

NPI: 1215848874
Provider Name (Legal Business Name): GROUND & GROW COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 N 2ND ST
ELDRIDGE IA
52748-1208
US

IV. Provider business mailing address

321 E FLAGG ST
WALCOTT IA
52773-7739
US

V. Phone/Fax

Practice location:
  • Phone: 563-265-1036
  • Fax:
Mailing address:
  • Phone: 563-676-5854
  • 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: COURTNEY DAVISON
Title or Position: CEO
Credential: LMHC, LCPC
Phone: 563-265-1036