| Grace Therapy & Healing Pllc | |
|
1675 N Freedom Blvd Ste 10b Provo UT 84604-6906 | |
| (801) 900-6056 | |
| Not Available |
| Full Name | Grace Therapy & Healing Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1675 N Freedom Blvd Ste 10b, Provo, Utah |
| Authorized Official Name and Position | Brian David Bradford (BUSINESS DIRECTOR) |
| Authorized Official Contact | 8019005108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Therapy & Healing Pllc 1675 N Freedom Blvd Ste 10b Provo UT 84604-6906 Ph: (801) 900-6056 | Grace Therapy & Healing Pllc 1675 N Freedom Blvd Ste 10b Provo UT 84604-6906 Ph: (801) 900-6056 |
| NPI Number | 1588307961 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Certification Date | 04/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588307961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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