Daniel Grace Counseling And Supervision, PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Mountain Home, AR. Organization (NPI-2).
NPI number1417518523
StatusActive
Last updated in NPPESJun 28, 2019
Details
- NPI
- 1417518523
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel Grace Counseling And Supervision, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 28, 2019
- Last updated
- Jun 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1219 Commerce Dr Ste 3Mountain Home, AR 72653-2604
Phone 870-926-6280
Mailing address
1645 County Road 625Mountain Home, AR 72653-6185
Phone 870-926-6280
Authorized official
Daniel Ray Grace
Owner/Practioner
8709266280
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