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General NPI Number Information
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NPI Number | 1568321321
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Entity Type | Organization
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Legal Business Name | THERAPY WITH GRACE LLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 226 9TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33701-1706
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Country | US
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Telephone | 630-346-7336
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Fax |
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Provider Business Mailing Address
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Address Line | 226 9TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33701-1706
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GRACE WALKER
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Credential |
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Telephone | 630-346-7336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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