MEDICARE: GROUNDED RESILIENCE COUNSELING PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1770435497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROUNDED RESILIENCE COUNSELING PLLC

Provider Business Mailing Address
First Line	:	1624 HOLLY HILL DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-6060
Country	:	US
Telephone Number	:	919-391-8071
Fax Number	:

Provider Business Practice Location Address
First Line	:	1624 HOLLY HILL DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713
Country	:	US
Telephone Number	:	919-391-8071
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXANDRIA COOKE
Credential	:	LCMHC, CRC
Telephone Number	:	919-391-8071

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	03/03/2026

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