Grounded Renewal Counseling LLC

NPI #1902780976 in Live Oak, Florida

Provider Information

NPI Number: 1902780976
Entity Type: Organization
Organization Name: Grounded Renewal Counseling LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 4, 2025
Last Updated: Aug 5, 2025

Practice Location

Address: 9289 141ST LN
City: Live Oak
State: Florida
ZIP Code: 32060-6393
Phone: (850) 253-7709

Authorized Official

Name: JILL LEIGHANN HODGES
Title: OWNER
Phone: (850) 253-7709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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