Organization · Type 2 NPI
Grounded Light LLC
Mental Health Counselor · Fort Collins, CO
NPI number
1003609595
Active
Practice location
421 South Howes Street
Fort Collins, CO 80521
Mailing address
2519 S Shields Street, Ste 1K Pmb 1063
Fort Collins, CO 80526-1855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1003609595
Grounded Light LLC's National Provider Identifier is 1003609595, issued on May 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Collins, CO. The record was last updated on Jun 25, 2025.