| A Place Of Grace Counseling & Consulting Llc | |
|
5940 S Rainbow Blvd Las Vegas NV 89118-2540 | |
| (702) 203-1964 | |
| Not Available |
| Full Name | A Place Of Grace Counseling & Consulting Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5940 S Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Valerie J Tines-braggs (OWNER) |
| Authorized Official Contact | 7022031964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Place Of Grace Counseling & Consulting Llc 5940 S Rainbow Blvd Las Vegas NV 89118-2540 Ph: (702) 203-1964 | A Place Of Grace Counseling & Consulting Llc 5940 S Rainbow Blvd Las Vegas NV 89118-2540 Ph: (702) 203-1964 |
| NPI Number | 1144662206 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 01/08/2016 |
| Medicare PECOS PAC ID | 0042432759 |
|---|---|
| Medicare Enrollment ID | O20141113001116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144662206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20131424530 (Nevada) | Primary |
| Provider Name | Mark Jerome Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295747368 PECOS PAC ID: 4385624147 Enrollment ID: I20040722000382 |
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