| A Place For Grace | |
|
11 S 1st St Council Bluffs IA 51503-4315 | |
| (515) 620-3284 | |
| Not Available |
| Full Name | A Place For Grace |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11 S 1st St, Council Bluffs, Iowa |
| Authorized Official Name and Position | Grace Lyne Brotherton (THERAPIST/OWNER) |
| Authorized Official Contact | 5156203284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Place For Grace 37053 Hutchings Ave Hastings IA 51540-4067 Ph: (712) 621-7300 | A Place For Grace 11 S 1st St Council Bluffs IA 51503-4315 Ph: (515) 620-3284 |
| NPI Number | 1023694478 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023694478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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