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General NPI Number Information
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NPI Number | 1275495079
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Entity Type | Organization
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Legal Business Name | GROUNDED MINDS COUNSELING, CONSULTING & SUPERVISION, LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 8891 BRIGHTON LN STE 105
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-7526
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Country | US
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Telephone | 239-499-2872
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Fax |
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Provider Business Mailing Address
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Address Line | 8891 BRIGHTON LN STE 105
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-7526
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Country | US
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Telephone | 239-499-2872
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICAL DIRECTOR, LMHC
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Name | KATIE STABILE
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Credential | LMHC
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Telephone | 239-499-2872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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