Provider Demographics
NPI:1528838737
Name:GROUNDED INTERVENTIONS PSYCHIATRIC AND WELLNESS SERVICES
Entity type:Organization
Organization Name:GROUNDED INTERVENTIONS PSYCHIATRIC AND WELLNESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARBITT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, C-NP, PMHNP-BC
Authorized Official - Phone:508-886-3921
Mailing Address - Street 1:104 CHARLES ELDRIDGE RD STE 6
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-1388
Mailing Address - Country:US
Mailing Address - Phone:774-406-4777
Mailing Address - Fax:508-644-3921
Practice Address - Street 1:104 CHARLES ELDRIDGE RD STE 6
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347-1388
Practice Address - Country:US
Practice Address - Phone:774-406-4777
Practice Address - Fax:508-644-3921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty