Grounded Living Ecotherapy Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GROUNDED LIVING ECOTHERAPY SERVICES LLC

Practice address

401 Roosevelt Dr
Dresser, WI 54009-9065

Phone

(715) 494-0004

NPI assigned

Aug 31, 2020

Organization subpart

No

Name

Sheena Malm, LPCNPI 1255676953

Title

Owner

Phone

(715) 494-0004

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheena G Malm, MS, LPC

  • Professional Counselor
  • Dresser, WI
  • NPI 1255676953

  Professional

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2020.

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1609480482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROOSEVELT DR",
            "city": "DRESSER",
            "state": "WI",
            "postal_code": "540099065",
            "telephone_number": "715-494-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROOSEVELT DR",
            "city": "DRESSER",
            "state": "WI",
            "postal_code": "540099065",
            "telephone_number": "715-494-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED LIVING ECOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "MALM",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-494-0004",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Boissy, R.N.
• Rebecca Lu Fultz, RN
• Suzanne Patricia Ingebrigtson, PTA
• Linda S Leef, L.AC.
• Sheena G Malm, MS, LPC
• Northern Bridges
• Joe Richard Scovell, D.C.

• All providers in Dresser, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.