Provider Demographics
NPI:1497529820
Name:GROUNDED PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:GROUNDED PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:319-800-2081
Mailing Address - Street 1:332 S LINN ST STE 17
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-1697
Mailing Address - Country:US
Mailing Address - Phone:319-800-2081
Mailing Address - Fax:
Practice Address - Street 1:332 S LINN ST STE 17
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1697
Practice Address - Country:US
Practice Address - Phone:319-800-2081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)