Grace Behavioral Services, Llc | |
20 Price Ln Palm Coast FL 32164-7417 | |
(386) 986-9978 | |
Not Available |
Full Name | Grace Behavioral Services, Llc |
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Speciality | Counselor - Mental Health |
Location | 20 Price Ln, Palm Coast, Florida |
Authorized Official Name and Position | Terry Turner James (OWNER) |
Authorized Official Contact | 3869869978 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grace Behavioral Services, Llc 20 Price Ln Palm Coast FL 32164-7417 Ph: (386) 986-9978 | Grace Behavioral Services, Llc 20 Price Ln Palm Coast FL 32164-7417 Ph: (386) 986-9978 |
NPI Number | 1215417480 |
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Provider Enumeration Date | 08/17/2018 |
Last Update Date | 08/17/2018 |
Identifier | Type | State | Issuer |
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1215417480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | MH15910 (Florida) | Primary |
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