| Grace And Renewal Llc | |
|
680 Commerce Dr Ste 271 Woodbury MN 55125-4512 | |
| (612) 558-6132 | |
| Not Available |
| Full Name | Grace And Renewal Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 680 Commerce Dr Ste 271, Woodbury, Minnesota |
| Authorized Official Name and Position | Kara Lynn Dolney (LICENSED MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 6125586132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace And Renewal Llc 1835 Portland Ave Apt 3 Saint Paul MN 55104-6362 Ph: (612) 558-6132 | Grace And Renewal Llc 680 Commerce Dr Ste 271 Woodbury MN 55125-4512 Ph: (612) 558-6132 |
| NPI Number | 1174389431 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174389431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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