| Gracewell Studios Llc | |
|
103a Spenryn Dr Madison AL 35758-1891 | |
| (734) 726-0253 | |
| Not Available |
| Full Name | Gracewell Studios Llc |
|---|---|
| Speciality | Social Worker |
| Location | 103a Spenryn Dr, Madison, Alabama |
| Authorized Official Name and Position | Patricia Mccarthy (MANAGING OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 7347260253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracewell Studios Llc 103a Spenryn Dr Madison AL 35758-1891 Ph: (734) 726-0253 | Gracewell Studios Llc 103a Spenryn Dr Madison AL 35758-1891 Ph: (734) 726-0253 |
| NPI Number | 1548939358 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/09/2022 |
| Medicare PECOS PAC ID | 5799162863 |
|---|---|
| Medicare Enrollment ID | O20220510002152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548939358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Patricia M Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740562735 PECOS PAC ID: 2264862143 Enrollment ID: I20200416000668 |
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