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SPACE FOR GRACE LLC NPI 1396345351


NPI Information

NPI: 1396345351
Provider Name: SPACE FOR GRACE, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
10208 CASCADE RUN CT
OWINGS MILLS, MD
ZIP 21117
Phone: (443) 985-7294
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SPACE FOR GRACE, LLC is a mental health counselor in Owings Mills, MD. SPACE FOR GRACE, LLC NPI is 1396345351. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10208 CASCADE RUN CT
OWINGS MILLS, MD
ZIP 21117-836
Phone: (443) 985-7294

The provider's authorized official is Renee P Lewis .
The authorized official title is Owner and has the following contact phone number (443) 889-2569.

The enumeration date for this NPI number is 10/29/2020 and was last updated on 11/11/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthYes
4101YP1600XCounselorPastoralNo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.