| Open To Grace Wellness, Llc | |
|
2 Hidden Ln Abington PA 19001-4603 | |
| (267) 209-0449 | |
| Not Available |
| Full Name | Open To Grace Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2 Hidden Ln, Abington, Pennsylvania |
| Authorized Official Name and Position | Jamie Leigh Nichols (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2672090449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open To Grace Wellness, Llc 2 Hidden Ln Abington PA 19001-4603 Ph: (609) 731-1220 | Open To Grace Wellness, Llc 2 Hidden Ln Abington PA 19001-4603 Ph: (267) 209-0449 |
| NPI Number | 1730711094 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730711094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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