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NPI 1043135957

NPI 1043135957 : GROUNDED SYSTEMS THERAPY PLLC : WINSTON SALEM, NC

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General NPI Number Information
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    NPI Number           |    1043135957
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    Entity Type          |    Organization 
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    Legal Business Name  |    GROUNDED SYSTEMS THERAPY PLLC 
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Dates
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    Enumeration Date     |    08/11/2026
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    Last Update Date     |    08/12/2026
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Provider Practice Location Address
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    Address Line         |    2910 BRIARCLIFFE RD 
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    City                 |    WINSTON SALEM
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    State                |    NC
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    Zip                  |    27106-3176
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    Country              |    US
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    Telephone            |    336-462-9868
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2910 BRIARCLIFFE RD 
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    City                 |    WINSTON SALEM
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    State                |    NC
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    Zip                  |    27106-3176
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    Country              |    US
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    Telephone            |    336-462-9868
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST/OWNER
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    Name                 |    DR. STEPHANIE  COOKE 
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    Credential           |    PHD, LMFT
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    Telephone            |    252-320-9272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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