| Rising Grace Therapy Pllc | |
|
555 E 10th Ave Apt 9 Denver CO 80203-3265 | |
| (720) 239-2834 | |
| Not Available |
| Full Name | Rising Grace Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 555 E 10th Ave Apt 9, Denver, Colorado |
| Authorized Official Name and Position | Reynaldo Lopez (OWNER) |
| Authorized Official Contact | 4072840910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Grace Therapy Pllc 1312 17th St Unit 2007 Denver CO 80202-1508 Ph: (720) 239-2834 | Rising Grace Therapy Pllc 555 E 10th Ave Apt 9 Denver CO 80203-3265 Ph: (720) 239-2834 |
| NPI Number | 1740063668 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740063668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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