Organization · Type 2 NPI
Grace Space Counseling Center, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Matthews, NC
NPI number
1326857129
Active
Practice location
4004 Wallbrook Dr
Matthews, NC 28105-8704
Fax (704) 452-4430
Mailing address
PO Box 2003
Matthews, NC 28106-2003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1326857129
Grace Space Counseling Center, PLLC's National Provider Identifier is 1326857129, issued on Jan 6, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Matthews, NC. The record was last updated on Jan 14, 2025.