| Grace Therapy 1 Llc | |
|
39 Avenue At The Cmn Ste 106 Shrewsbury NJ 07702-4560 | |
| (848) 240-2856 | |
| Not Available |
| Full Name | Grace Therapy 1 Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 39 Avenue At The Cmn Ste 106, Shrewsbury, New Jersey |
| Authorized Official Name and Position | Janet Pair (LMFT) |
| Authorized Official Contact | 8482402856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Therapy 1 Llc Po Box 64 Colts Neck NJ 07722-0064 Ph: (848) 240-2856 | Grace Therapy 1 Llc 39 Avenue At The Cmn Ste 106 Shrewsbury NJ 07702-4560 Ph: (848) 240-2856 |
| NPI Number | 1770139479 |
|---|---|
| Provider Enumeration Date | 08/18/2019 |
| Last Update Date | 09/02/2021 |
| Certification Date | 09/02/2021 |
| Medicare PECOS PAC ID | 2567813504 |
|---|---|
| Medicare Enrollment ID | O20240104000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770139479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Janet M. Pair |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134776115 PECOS PAC ID: 3476904418 Enrollment ID: I20240104000238 |
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