| Grace Space Counseling Center, Pllc | |
|
4004 Wallbrook Dr Matthews NC 28105-8704 | |
| (704) 247-7356 | |
| (704) 452-4430 |
| Full Name | Grace Space Counseling Center, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4004 Wallbrook Dr, Matthews, North Carolina |
| Authorized Official Name and Position | Sabriya Mutize (OWNER/THERAPIST) |
| Authorized Official Contact | 7042747356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Space Counseling Center, Pllc Po Box 2003 Matthews NC 28106-2003 Ph: (704) 247-7356 | Grace Space Counseling Center, Pllc 4004 Wallbrook Dr Matthews NC 28105-8704 Ph: (704) 247-7356 |
| NPI Number | 1326857129 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326857129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Thompson Child And Family Focus Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Saint Peters Ln, Matthews, NC 28105 Phone: 704-536-0375 | |
Outlook Forensic And Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1254 Mann Dr, Suite 100, Matthews, NC 28105 Phone: 704-841-3886 Fax: 704-841-3889 | |
South Charlotte Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Brightmoor Drive, Matthews, NC 28105 Phone: 704-807-6555 | |
Hawkinshill Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Nettleton Ct, Matthews, NC 28105 Phone: 704-957-3901 Fax: 704-708-5726 | |
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