GRACE PROVIDERS LLC NPI 1649862707

NPI Information

GRACE PROVIDERS LLC is a mental health counselor in Indianapolis, IN. GRACE PROVIDERS LLC NPI is 1649862707. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

735 SHELBY ST UNIT 206
INDIANAPOLIS, IN
ZIP 46203-167
Phone: (317) 413-6028
Fax: (317) 245-2550

The provider's authorized official is Mark Hewitt Graeser .
The authorized official title is President and has the following contact phone number (317) 413-6028.

The enumeration date for this NPI number is 2/9/2021 and was last updated on 2/9/2021.

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:

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