| Essential Grace Therapy, Pllc | |
|
12390 Sherburne Ave Ste 210 Becker MN 55308-9147 | |
| (763) 291-0468 | |
| Not Available |
| Full Name | Essential Grace Therapy, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12390 Sherburne Ave Ste 210, Becker, Minnesota |
| Authorized Official Name and Position | Jodi Ann Smith (OWNER) |
| Authorized Official Contact | 7632910468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Grace Therapy, Pllc 24910 184th St Nw Big Lake MN 55309-9788 Ph: (763) 291-0468 | Essential Grace Therapy, Pllc 12390 Sherburne Ave Ste 210 Becker MN 55308-9147 Ph: (763) 291-0468 |
| NPI Number | 1114526548 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114526548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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Athman Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14068 Bank St, Becker, MN 55308 Phone: 763-261-6810 | |
Rejuvenate Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12390 Sherburne Ave # 110, Becker, MN 55308 Phone: 612-524-9818 |