Provider Demographics
NPI:1710609714
Name:GROUNDING WELLNESS, LLC
Entity Type:Organization
Organization Name:GROUNDING WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LADUKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-470-3365
Mailing Address - Street 1:8606 NE 143RD ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-5068
Mailing Address - Country:US
Mailing Address - Phone:425-470-3365
Mailing Address - Fax:
Practice Address - Street 1:8606 NE 143RD ST
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-5068
Practice Address - Country:US
Practice Address - Phone:425-470-3365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty