STATE OF GRACE COUNSELING PLLC NPI 1093301947

NPI Information

NPI: 1093301947
Provider Name: STATE OF GRACE COUNSELING PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
21905 GARRISON ST
DEARBORN, MI
ZIP 48124
Phone: (734) 210-0231
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STATE OF GRACE COUNSELING PLLC is a professional counselor in Dearborn, MI. STATE OF GRACE COUNSELING PLLC NPI is 1093301947. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21905 GARRISON ST
DEARBORN, MI
ZIP 48124-303
Phone: (734) 210-0231

The provider's authorized official is Jacqueline Kuehn .
The authorized official title is Clinical Therapist and has the following contact phone number (734) 210-0231.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 9/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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