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General NPI Number Information
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NPI Number | 1558280461
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Entity Type | Organization
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Legal Business Name | GROUNDED GRACE COUNSELING LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 1526 NANTAHALA BEACH ROAD UNIT B
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City | GULF BREEZE
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State | FL
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Zip | 32563
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Country | US
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Telephone | 850-736-7889
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Fax |
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Provider Business Mailing Address
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Address Line | 1526 NANTAHALA BEACH ROAD UNIT B
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City | GULF BREEZE
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State | FL
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Zip | 32563
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Country | US
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Telephone | 850-736-7889
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED MEMBER
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Name | KRISTINA M NELON
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Credential | LMHC
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Telephone | 850-736-7889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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