| Grace Space Counseling Llc | |
|
289 Country Club Ln Scotch Plains NJ 07076-3111 | |
| (732) 454-7810 | |
| Not Available |
| Full Name | Grace Space Counseling Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 289 Country Club Ln, Scotch Plains, New Jersey |
| Authorized Official Name and Position | Lizandra Portalatin (OWNER) |
| Authorized Official Contact | 7324547810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Space Counseling Llc 289 Country Club Ln Scotch Plains NJ 07076-3111 Ph: (732) 454-7810 | Grace Space Counseling Llc 289 Country Club Ln Scotch Plains NJ 07076-3111 Ph: (732) 454-7810 |
| NPI Number | 1851119929 |
|---|---|
| Provider Enumeration Date | 09/28/2024 |
| Last Update Date | 09/28/2024 |
| Certification Date | 09/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851119929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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