Healthcare Provider Details

I. General information

NPI: 1396164091
Provider Name (Legal Business Name): GRACEFUL BEGINNINGS HEALTHCARE CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 04/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 GASIEWICZ ST
FORT HUACHUCA AZ
85613-1014
US

IV. Provider business mailing address

PO BOX 2047
SIERRA VISTA AZ
85636-2047
US

V. Phone/Fax

Practice location:
  • Phone: 520-230-5820
  • Fax: 877-358-6369
Mailing address:
  • Phone: 520-230-5820
  • Fax: 877-358-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State

VIII. Authorized Official

Name: ALESHIA SILVA
Title or Position: OWNER
Credential: CCS-P
Phone: 520-230-5820