Grounded Soul Therapy Lcsw Pllc

NPI #1952100539 in Watertown, New York

Provider Information

NPI Number: 1952100539
Entity Type: Organization
Organization Name: Grounded Soul Therapy Lcsw Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 7, 2025
Last Updated: May 29, 2025

Practice Location

Address: 232 COMMERCE PARK DR UNIT 502
City: Watertown
State: New York
ZIP Code: 13601-8521
Phone: (315) 533-2479

Authorized Official

Name: MRS. TARA PHILLIPS-MCAULIFFE, LCSW-R
Title: OWNER/THERAPIST
Phone: (315) 533-2479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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