| Light Of Grace Family Services Llc | |
|
8354 Trout Lily Dr Ooltewah TN 37363-6026 | |
| (423) 645-5690 | |
| Not Available |
| Full Name | Light Of Grace Family Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8354 Trout Lily Dr, Ooltewah, Tennessee |
| Authorized Official Name and Position | Candice Milligan (OWNER) |
| Authorized Official Contact | 4236455690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Of Grace Family Services Llc 8354 Trout Lily Dr Ooltewah TN 37363-6026 Ph: (423) 645-5690 | Light Of Grace Family Services Llc 8354 Trout Lily Dr Ooltewah TN 37363-6026 Ph: (423) 645-5690 |
| NPI Number | 1457185480 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457185480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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