Healthcare Provider Details

I. General information

NPI: 1134885478
Provider Name (Legal Business Name): GRACE IN BALANCE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12213 PECOS ST STE 300
WESTMINSTER CO
80234-3414
US

IV. Provider business mailing address

12213 PECOS ST STE 300
WESTMINSTER CO
80234-3414
US

V. Phone/Fax

Practice location:
  • Phone: 720-772-0889
  • Fax: 720-552-0372
Mailing address:
  • Phone: 720-772-0889
  • Fax: 720-552-0372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: FELICIDAD XYLIA FRASER-SOLAK
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LCSW, LAC
Phone: 720-772-0889