MEDICARE: GROUNDED GROWTH THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1487585261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROUNDED GROWTH THERAPY

Provider Business Mailing Address
First Line	:	707 S SNOQUALMIE ST STE 5A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98108-1742
Country	:	US
Telephone Number	:	785-806-9708
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 S SNOQUALMIE ST STE 5A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98108-1742
Country	:	US
Telephone Number	:	785-806-9708
Fax Number	:

Authorized Official
Title or Position	:	LMHC/OWNER
Name	:	MADISON GALLIANO
Credential	:
Telephone Number	:	253-256-5132

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “GROUNDED GROWTH THERAPY ” Practice Location

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