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General NPI Number Information
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NPI Number | 1386568533
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Entity Type | Organization
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Legal Business Name | GRACE COLLECTIVE COUNSELING
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 2323 DARBY RD APT 312
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City | HAVERTOWN
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State | PA
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Zip | 19083-2240
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Country | US
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Telephone | 484-477-2426
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 DARBY RD APT 312
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City | HAVERTOWN
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State | PA
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Zip | 19083-2240
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Country | US
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Telephone | 484-477-2426
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | GRACIE RAE HODGES
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Credential | LPC
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Telephone | 310-912-1825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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