Organization

Grounding Root Therapy Llc

Counselor in River Edge, NJ(View on Map)

Legal Business Name

Grounding Root Therapy Llc

NPI Number

1033629167

NPI Type

Organization

Enumeration Date

10/03/2017

Specialties

(Taxonomies)

Code

101Y00000X
324500000X

Primary Taxonomy

Yes
No

Licenses

State

New Jersey

License Number

37LC00237300

Contact
Information

Purpose

Mailing
Location

Address

1060 MAIN ST STE 200A
1060 MAIN ST STE 200A

City

River Edge
River Edge

State

NJ
NJ

Postal Code

07661-2591
07661-2591

Country

US
US

Telephone Number

(973) 876-6902
(973) 876-6902

Authorized Official

Name

Michael Mariano

Title or Position

OWNER

Telephone Number

(973) 876-6902

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/01/2020

Provider Address

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