SPACE FOR GRACE LLC NPI 1396345351

NPI Information

  • NPI: 1396345351
  • Provider Name: SPACE FOR GRACE, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 10208 CASCADE RUN CT
    OWINGS MILLS, MD
    ZIP 21117
  • Phone: (443) 985-7294

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

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