| Grace Clinical Counseling Centre, Inc | |
|
5062 N 19th Ave Ste 100 Phoenix AZ 85015-3225 | |
| (602) 855-0002 | |
| Not Available |
| Full Name | Grace Clinical Counseling Centre, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5062 N 19th Ave Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Wildine Burgess (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 2403502863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Clinical Counseling Centre, Inc 5062 N 19th Ave Ste 100 Phoenix AZ 85015-3225 Ph: (602) 855-0002 | Grace Clinical Counseling Centre, Inc 5062 N 19th Ave Ste 100 Phoenix AZ 85015-3225 Ph: (602) 855-0002 |
| NPI Number | 1174281463 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 12/03/2021 |
| Certification Date | 12/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174281463 | NPI | - | NPPES |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
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