| Growth & Grace Counseling And Consulting Llc | |
|
3261 University Ave Waterloo IA 50701-2051 | |
| (712) 789-0664 | |
| Not Available |
| Full Name | Growth & Grace Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 3261 University Ave, Waterloo, Iowa |
| Authorized Official Name and Position | Alycia Hemmen (OWNER) |
| Authorized Official Contact | 7127890664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth & Grace Counseling And Consulting Llc Po Box 71602 Clive IA 50325-0602 Ph: (515) 243-2057 | Growth & Grace Counseling And Consulting Llc 3261 University Ave Waterloo IA 50701-2051 Ph: (712) 789-0664 |
| NPI Number | 1720839418 |
|---|---|
| Provider Enumeration Date | 03/29/2024 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Medicare PECOS PAC ID | 1850732561 |
|---|---|
| Medicare Enrollment ID | O20240513002151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720839418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alycia M Hemmen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255734448 PECOS PAC ID: 5395187280 Enrollment ID: I20240523001858 |
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