Healthcare Provider Details

I. General information

NPI: 1285545889
Provider Name (Legal Business Name): GROUNDED PSYCHIATRY WITH GRACE
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

4444 W 76TH ST
EDINA MN
55435-5173
US

IV. Provider business mailing address

5446 VINCENT AVE S
MINNEAPOLIS MN
55410-2431
US

V. Phone/Fax

Practice location:
  • Phone: 612-746-7347
  • Fax:
Mailing address:
  • Phone: 612-685-3952
  • 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: GRACE ORIANDA SCOTT
Title or Position: CEO
Credential: PMHNP-BC
Phone: 612-685-3952