Provider Demographics
NPI:1780181297
Name:GROUNDINGHEARTS, INC
Entity Type:Organization
Organization Name:GROUNDINGHEARTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIERGELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERY-REED
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:857-600-2449
Mailing Address - Street 1:112 WATER ST STE 203
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4225
Mailing Address - Country:US
Mailing Address - Phone:857-600-2449
Mailing Address - Fax:857-999-3903
Practice Address - Street 1:112 WATER ST STE 203
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-4225
Practice Address - Country:US
Practice Address - Phone:857-600-2449
Practice Address - Fax:857-999-3903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty