Grace Therapy Pllc | |
808 W Lake Lansing Rd Ste 200 East Lansing MI 48823-6322 | |
(248) 310-4817 | |
Not Available |
Full Name | Grace Therapy Pllc |
---|---|
Speciality | Social Worker |
Location | 808 W Lake Lansing Rd Ste 200, East Lansing, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grace Therapy Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Grace Therapy Pllc 808 W Lake Lansing Rd Ste 200 East Lansing MI 48823-6322 Ph: (248) 310-4817 |
NPI Number | 1699484030 |
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Provider Enumeration Date | 11/15/2022 |
Last Update Date | 06/14/2023 |
Certification Date | 06/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699484030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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