| Grace Street Counseling | |
|
7901 4th St N Ste 8163 St Petersburg FL 33702-4305 | |
| (631) 540-0554 | |
| Not Available |
| Full Name | Grace Street Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7901 4th St N Ste 8163, St Petersburg, Florida |
| Authorized Official Name and Position | Michelle Friedman (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6315400554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Street Counseling 7901 4th St N Ste 8163 St Petersburg FL 33702-4305 Ph: (631) 540-0554 | Grace Street Counseling 7901 4th St N Ste 8163 St Petersburg FL 33702-4305 Ph: (631) 540-0554 |
| NPI Number | 1033888920 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033888920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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