Healthcare Provider Details
I. General information
NPI: 1558208579
Provider Name (Legal Business Name): GROUNDED & ANCHORED THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5106 PONTIGO GLEN DR
PLAINFIELD IL
60586-4028
US
IV. Provider business mailing address
5106 PONTIGO GLEN DR
PLAINFIELD IL
60586-4028
US
V. Phone/Fax
- Phone: 630-362-0944
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
SCHREIBER
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LCPC
Phone: 773-484-8789