Provider Demographics
NPI:1619605425
Name:STAY GROUNDED WELLNESS AND CONSULTATION SERVICES, LLC
Entity Type:Organization
Organization Name:STAY GROUNDED WELLNESS AND CONSULTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALERTE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:404-828-0129
Mailing Address - Street 1:6000 VIEW DR UNIT 6215
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-5606
Mailing Address - Country:US
Mailing Address - Phone:404-828-0129
Mailing Address - Fax:
Practice Address - Street 1:6000 VIEW DR UNIT 6215
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-5606
Practice Address - Country:US
Practice Address - Phone:404-828-0129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1730728064OtherNPI