| Gratia Counseling & Consulting, Llc | |
|
2705 Bunker Lake Blvd Nw Ste 103 Andover MN 55304-3786 | |
| (763) 333-1553 | |
| (612) 999-1993 |
| Full Name | Gratia Counseling & Consulting, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2705 Bunker Lake Blvd Nw Ste 103, Andover, Minnesota |
| Authorized Official Name and Position | Brooke Fleming (PRESIDENT) |
| Authorized Official Contact | 7633331553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gratia Counseling & Consulting, Llc 2236 151st Ave Nw Andover MN 55304-4624 Ph: (763) 333-1553 | Gratia Counseling & Consulting, Llc 2705 Bunker Lake Blvd Nw Ste 103 Andover MN 55304-3786 Ph: (763) 333-1553 |
| NPI Number | 1851991160 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851991160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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