GRACE HOUSE PA NPI 1528201647

NPI Information

NPI: 1528201647
Provider Name: GRACE HOUSE PA
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1724 VILLAGE WAY
SUITE A
ORANGE PARK, FL
ZIP 32073
Phone: (904) 269-0886
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GRACE HOUSE PA is a mental health counselor in Orange Park, FL. GRACE HOUSE PA NPI is 1528201647. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1724 VILLAGE WAY
SUITE A
ORANGE PARK, FL
ZIP 32073-264
Phone: (904) 269-0886
Fax: (904) 269-0499

The provider's authorized official is Cathy Morey .
The authorized official title is Director and has the following contact phone number (904) 269-0886.

The enumeration date for this NPI number is 4/20/2009 and was last updated on 4/20/2009.

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
1	101YM0800X	Counselor	Mental Health	MH7812	FLORIDA	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: 5/5/2024

NPI Synchronization or Removal

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