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GRACE BEHAVIORAL HEALTH & WELLNESS LLC NPI 1841734878


NPI Information

NPI: 1841734878
Provider Name: GRACE BEHAVIORAL HEALTH & WELLNESS, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
145 CHURCH ST NE STE 285
MARIETTA, GA
ZIP 30060
Phone: (404) 619-6955
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GRACE BEHAVIORAL HEALTH & WELLNESS, LLC is an adult mental health clinic center in Marietta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. GRACE BEHAVIORAL HEALTH & WELLNESS, LLC NPI is 1841734878. The provider is registered as an organization entity type.

The provider's business location address is:

145 CHURCH ST NE STE 285
MARIETTA, GA
ZIP 30060-500
Phone: (404) 619-6955

The provider's authorized official is Donna-jean Owens .
The authorized official title is Therapist and has the following contact phone number (404) 618-6955.

The enumeration date for this NPI number is 12/9/2016 and was last updated on 12/9/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthCSW003676GEORGIAYes

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: 4/28/2024

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