GRACE OUTREACH CENTER NPI 1821855529

NPI Information

NPI: 1821855529
Provider Name: GRACE OUTREACH CENTER
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1530 W ELLIOT RD
GILBERT, AZ
ZIP 85233
Phone: (480) 252-6750
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GRACE OUTREACH CENTER is a counselor in Gilbert, AZ. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. GRACE OUTREACH CENTER NPI is 1821855529. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1530 W ELLIOT RD
GILBERT, AZ
ZIP 85233-161
Phone: (480) 252-6750

The provider's authorized official is Alexandra L Hernandez .
The authorized official title is Administrator and has the following contact phone number (480) 252-6750.

The enumeration date for this NPI number is 2/29/2024 and was last updated on 2/29/2024.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101Y00000X	Counselor				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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