SOUL GRACE COACHING CO NPI 1124879572

NPI Information

  • NPI: 1124879572
  • Provider Name: SOUL GRACE COACHING CO,
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • :
  • Address: 4000 TOWN CTR STE 1350
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (586) 339-2178

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NPI Details

SOUL GRACE COACHING CO, is a community behavioral health in Southfield, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SOUL GRACE COACHING CO, NPI is 1124879572. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4000 TOWN CTR STE 1350
SOUTHFIELD, MI
ZIP 48075-427
Phone: (586) 339-2178

The provider's authorized official is Claude Gracy .
The authorized official title is Ceo and has the following contact phone number (586) 339-2178.

The enumeration date for this NPI number is 4/1/2024 and was last updated on 2/24/2025.

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
1171M00000XCase Manager/Care CoordinatorNo
2172V00000XCommunity Health WorkerNo
3251B00000XCase ManagementNo
4251S00000XCommunity/Behavioral HealthYes
5251X00000XSupports BrokerageNo
6252Y00000XEarly Intervention Provider AgencyNo
7253Z00000XIn Home Supportive CareNo
8261QC1500XClinic/CenterCommunity HealthNo
9305R00000XPreferred Provider OrganizationNo
10310400000XAssisted Living FacilityNo
11342000000XTransportation Network CompanyNo
12343900000XNon-emergency Medical Transport (VAN)No

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: 11/21/2025

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