Healthcare Provider Details

I. General information

NPI: 1598671307
Provider Name (Legal Business Name): UNBOUND AND GROUNDED COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 VILLAGE PARK DR
POCONO LAKE PA
18347-7964
US

IV. Provider business mailing address

PO BOX 84
BLAKESLEE PA
18610-0084
US

V. Phone/Fax

Practice location:
  • Phone: 610-257-7465
  • Fax:
Mailing address:
  • Phone: 610-257-7465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KAREN ANDREA JAMES
Title or Position: PRACTICE OWNER
Credential: LPC
Phone: 610-257-7465