Grace Therapy, Pc - Medicare Mental Health Clinic in Council Bluffs, IA

Grace Therapy, Pc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Council Bluffs, Iowa. The current practice location for Grace Therapy, Pc is 19971 Beverly Manor Ln, Council Bluffs, Iowa. For appointments, you can reach them via phone at (402) 679-2611. The mailing address for Grace Therapy, Pc is 19971 Beverly Manor Ln, Council Bluffs, Iowa and phone number is (402) 679-2611.

Grace Therapy, Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215504345. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (402) 679-2611.

Contact Information

Grace Therapy, Pc
19971 Beverly Manor Ln
Council Bluffs
IA 51503-5497
(402) 679-2611
Not Available

Mental Health Clinic Profile

Full NameGrace Therapy, Pc
SpecialitySocial Worker
Location19971 Beverly Manor Ln, Council Bluffs, Iowa
Authorized Official Name and PositionTonyarae C Bouvier (PRACTICE OWNER)
Authorized Official Contact4026792611
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grace Therapy, Pc
19971 Beverly Manor Ln
Council Bluffs
IA 51503-5497

Ph: (402) 679-2611
Grace Therapy, Pc
19971 Beverly Manor Ln
Council Bluffs
IA 51503-5497

Ph: (402) 679-2611

NPI Details:

NPI Number1215504345
Provider Enumeration Date06/08/2021
Last Update Date06/08/2021
Certification Date06/08/2021

Medicare PECOS Information:

Medicare PECOS PAC ID5294139416
Medicare Enrollment IDO20210811000328

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Medical Identifiers

Medical identifiers for Grace Therapy, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215504345NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Grace Therapy, Pc acts as a billing entity for following providers:
Provider NameTonyarae C Bouvier
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1699018382
PECOS PAC ID: 4385978063
Enrollment ID: I20190701000124

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