| Grace Behavioral Health And Wellness Pllc | |
|
2910 Montgomery Cir Commerce Township MI 48390-3605 | |
| (810) 620-6927 | |
| Not Available |
| Full Name | Grace Behavioral Health And Wellness Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2910 Montgomery Cir, Commerce Township, Michigan |
| Authorized Official Name and Position | Kelley Mcchester (OWNER) |
| Authorized Official Contact | 8106206927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Behavioral Health And Wellness Pllc 2910 Montgomery Cir Commerce Township MI 48390-3605 Ph: () - | Grace Behavioral Health And Wellness Pllc 2910 Montgomery Cir Commerce Township MI 48390-3605 Ph: (810) 620-6927 |
| NPI Number | 1356189088 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 1254864515 |
|---|---|
| Medicare Enrollment ID | O20241025001344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356189088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Kelley Mcchester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356688055 PECOS PAC ID: 2163955428 Enrollment ID: I20241025001424 |
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