| Grace Behavioral Health Llc | |
|
57109 Quentin Dr California MO 65018-6000 | |
| (573) 469-2433 | |
| Not Available |
| Full Name | Grace Behavioral Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 57109 Quentin Dr, California, Missouri |
| Authorized Official Name and Position | Leanna A Fowlds (DIRECTOR/ THERAPIST) |
| Authorized Official Contact | 5734692433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Behavioral Health Llc 2208 Missouri Blvd Ste 102 Jefferson City MO 65109-4742 Ph: (573) 469-2433 | Grace Behavioral Health Llc 57109 Quentin Dr California MO 65018-6000 Ph: (573) 469-2433 |
| NPI Number | 1528848199 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528848199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
You Turn Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 S Oak, California, MO 65018 Phone: 573-796-2233 |