| Grace From Darkness, Pllc | |
|
1515 N University Dr Ste 102a Coral Springs FL 33071-6083 | |
| (718) 872-8456 | |
| Not Available |
| Full Name | Grace From Darkness, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1515 N University Dr Ste 102a, Coral Springs, Florida |
| Authorized Official Name and Position | Deyanira Baldera (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7188728456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace From Darkness, Pllc 1515 N University Dr Coral Springs FL 33071-6096 Ph: (718) 872-8456 | Grace From Darkness, Pllc 1515 N University Dr Ste 102a Coral Springs FL 33071-6083 Ph: (718) 872-8456 |
| NPI Number | 1407359045 |
|---|---|
| Provider Enumeration Date | 03/09/2018 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407359045 | NPI | - | NPPES |
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