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General NPI Number Information
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NPI Number | 1083574651
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Entity Type | Organization
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Legal Business Name | GROUNDED THERAPY PRACTICE, PLLC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 3408 WOODLAND AVE STE 302
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6506
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Country | US
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Telephone | 312-515-8879
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 57TH ST
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City | DES MOINES
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State | IA
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Zip | 50311-2003
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Country | US
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Telephone | 312-515-8879
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JESSICA GALVIN
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Credential | LISW
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Telephone | 312-515-8879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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