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General NPI Number Information
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NPI Number | 1346106051
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Entity Type | Organization
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Legal Business Name | GROUNDED HEART THERAPY LLC
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Dates
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Enumeration Date | 12/27/2025
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Last Update Date | 12/27/2025
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Provider Practice Location Address
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Address Line | 6381 OSGOOD AVE N BLDG C
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City | STILLWATER
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State | MN
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Zip | 55082-6118
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Country | US
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Telephone | 612-424-0775
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 PINEWOOD DR
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City | WOODBURY
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State | MN
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Zip | 55125-2028
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Country | US
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Telephone | 612-424-0775
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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 | KATHLEEN ENGH
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Credential | MA, LPCC
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Telephone | 612-424-0775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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