Healthcare Provider Details

I. General information

NPI: 1205706272
Provider Name (Legal Business Name): GROUNDED MINDS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5899 STONYHILL LN SE
KENTWOOD MI
49508-6410
US

IV. Provider business mailing address

5899 STONYHILL LN SE
KENTWOOD MI
49508-6410
US

V. Phone/Fax

Practice location:
  • Phone: 616-209-9126
  • Fax:
Mailing address:
  • Phone: 616-209-9126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: PAUL ALLISON
Title or Position: OWNER
Credential: LMHC, LPC, NCC
Phone: 616-209-9126