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GRACE N MERCY SUPPORT SERVICES LLC NPI 1790387074


NPI Information

NPI: 1790387074
Provider Name: GRACE N MERCY SUPPORT SERVICES LLC
Classification: Peer Specialist - 175T00000X
Entity Type: Organization
Address:
4206 SOUTHERN PKWY # 1A
LOUISVILLE, KY
ZIP 40214
Phone: (502) 365-2216
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GRACE N MERCY SUPPORT SERVICES LLC is a peer specialist in Louisville, KY. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. GRACE N MERCY SUPPORT SERVICES LLC NPI is 1790387074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4206 SOUTHERN PKWY # 1A
LOUISVILLE, KY
ZIP 40214-650
Phone: (502) 365-2216
Fax: (502) 749-0055

The provider's authorized official is April Roann Robertson .
The authorized official title is Owner/ Peer Support and has the following contact phone number (270) 300-6819.

The enumeration date for this NPI number is 11/12/2020 and was last updated on 11/12/2020.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessionalNo
3175T00000XPeer SpecialistYes

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

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