| All Grace Therapeutic Solutions Llc | |
|
545 Chapman St Hillside NJ 07205-1722 | |
| (862) 218-2646 | |
| Not Available |
| Full Name | All Grace Therapeutic Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 545 Chapman St, Hillside, New Jersey |
| Authorized Official Name and Position | Tanasha Driver (OWNER, LCSW) |
| Authorized Official Contact | 8622182646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Grace Therapeutic Solutions Llc 545 Chapman St Hillside NJ 07205-1722 Ph: (862) 218-2646 | All Grace Therapeutic Solutions Llc 545 Chapman St Hillside NJ 07205-1722 Ph: (862) 218-2646 |
| NPI Number | 1407537103 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Medicare PECOS PAC ID | 2365886116 |
|---|---|
| Medicare Enrollment ID | O20240220002230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407537103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tanasha Driver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982332441 PECOS PAC ID: 4385098037 Enrollment ID: I20230928002082 |
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