| Healing Grace Counseling | |
|
503 Drake Dr Dothan AL 36305-4272 | |
| (407) 529-4535 | |
| Not Available |
| Full Name | Healing Grace Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 503 Drake Dr, Dothan, Alabama |
| Authorized Official Name and Position | Cynthia B Sierra (OWNER) |
| Authorized Official Contact | 4075294535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Grace Counseling 503 Drake Dr Dothan AL 36305-4272 Ph: (407) 529-4535 | Healing Grace Counseling 503 Drake Dr Dothan AL 36305-4272 Ph: (407) 529-4535 |
| NPI Number | 1427803931 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 2264872092 |
|---|---|
| Medicare Enrollment ID | O20240426002760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427803931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cynthia Bernice Sierra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467789321 PECOS PAC ID: 3173963907 Enrollment ID: I20240426002966 |
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