Organization · Type 2 NPI

Grace Therapeutic Services LLC

Professional Counselor · Southampton, PA

NPI number 1174088520 Active

Practice location

1111 Street Rd Ste 101
Southampton, PA 18966-4250

Mailing address

1922 Preston Ave
Willow Grove, PA 19090-3027

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1174088520

Grace Therapeutic Services LLC's National Provider Identifier is 1174088520, issued on Feb 8, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southampton, PA. The record was last updated on Feb 8, 2019.