| Lady G. Grace, Inc. | |
|
4752 Everglades Cir Kissimmee FL 34746-5385 | |
| (407) 417-4353 | |
| Not Available |
| Full Name | Lady G. Grace, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4752 Everglades Cir, Kissimmee, Florida |
| Authorized Official Name and Position | Geline Lagrace (OWNER) |
| Authorized Official Contact | 4074144353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lady G. Grace, Inc. 4752 Everglades Cir Kissimmee FL 34746-5385 Ph: (407) 417-4353 | Lady G. Grace, Inc. 4752 Everglades Cir Kissimmee FL 34746-5385 Ph: (407) 417-4353 |
| NPI Number | 1669066767 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/01/2021 |
| Certification Date | 03/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669066767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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