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General NPI Number Information
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NPI Number | 1639084668
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Entity Type | Organization
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Legal Business Name | GRACE MENTAL HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 12 PENNS TRL STE 101
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City | NEWTOWN
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State | PA
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Zip | 18940-1892
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Country | US
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Telephone | 267-699-2537
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Fax | 267-754-7669
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Provider Business Mailing Address
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Address Line | 12 PENNS TRL STE 101
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City | NEWTOWN
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State | PA
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Zip | 18940-1892
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Country | US
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Telephone | 267-699-2537
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Fax | 267-754-7669
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | REGINA LYNCH-BLACK
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Credential | APRN
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Telephone | 267-699-2537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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