Healthcare Provider Details

I. General information

NPI: 1487585261
Provider Name (Legal Business Name): GROUNDED GROWTH THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 S SNOQUALMIE ST STE 5A
SEATTLE WA
98108-1742
US

IV. Provider business mailing address

707 S SNOQUALMIE ST STE 5A
SEATTLE WA
98108-1742
US

V. Phone/Fax

Practice location:
  • Phone: 785-806-9708
  • Fax:
Mailing address:
  • Phone: 785-806-9708
  • 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: MADISON GALLIANO
Title or Position: LMHC/OWNER
Credential:
Phone: 253-256-5132