| Good Grace Counseling & Consulting Llc | |
|
1410 W Pine St Rawlins WY 82301-5317 | |
| (307) 321-3076 | |
| Not Available |
| Full Name | Good Grace Counseling & Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1410 W Pine St, Rawlins, Wyoming |
| Authorized Official Name and Position | Marci Lynn Conley (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3073213076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Grace Counseling & Consulting Llc 1212 W Maple St Rawlins WY 82301-5209 Ph: (307) 321-3076 | Good Grace Counseling & Consulting Llc 1410 W Pine St Rawlins WY 82301-5317 Ph: (307) 321-3076 |
| NPI Number | 1790375327 |
|---|---|
| Provider Enumeration Date | 01/18/2021 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 7214341296 |
|---|---|
| Medicare Enrollment ID | O20210203000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790375327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marci Lynn Conley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861673642 PECOS PAC ID: 9032523014 Enrollment ID: I20210203000386 |
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