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General NPI Number Information
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NPI Number | 1508463449
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Entity Type | Organization
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Legal Business Name | GRACE CENTER MENTAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 229 N MAIN ST STE 202
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City | SMYRNA
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State | DE
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Zip | 19977-1997
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Country | US
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Telephone | 302-932-8098
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Fax |
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Provider Business Mailing Address
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Address Line | 409 HORIZON LN
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City | SMYRNA
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State | DE
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Zip | 19977-4117
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Country | US
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Telephone | 302-566-5537
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | MONE'T S. FLOYD
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Credential | LCSW
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Telephone | 302-566-5537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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