GRACE KOREAN CHURCH NPI 1326644584

NPI Information

  • NPI: 1326644584
  • Provider Name: GRACE KOREAN CHURCH
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 10560 MAIN ST STE 207
    FAIRFAX, VA
    ZIP 22030
  • Phone: (202) 295-7069

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NPI Details

GRACE KOREAN CHURCH is a mental health (including community mental health center) clinic center in Fairfax, VA. GRACE KOREAN CHURCH NPI is 1326644584. The provider is registered as an organization entity type.

The provider's business location address is:

10560 MAIN ST STE 207
FAIRFAX, VA
ZIP 22030-176
Phone: (202) 295-7069

The provider's authorized official is Takhyun Cho .
The authorized official title is Director Of Counseling and has the following contact phone number (202) 295-7069.

The enumeration date for this NPI number is 12/11/2020 and was last updated on 5/17/2024.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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