| Awakening Grace Therapy Llc | |
|
2123 Shed Rd Ste 14 Bossier City LA 71111-3617 | |
| (318) 540-8576 | |
| (318) 383-0956 |
| Full Name | Awakening Grace Therapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2123 Shed Rd Ste 14, Bossier City, Louisiana |
| Authorized Official Name and Position | Stephanie Jo Rei (OWNER/THERAPIST) |
| Authorized Official Contact | 3185408576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakening Grace Therapy Llc 539 Dogwood South Ln Haughton LA 71037-8554 Ph: (318) 540-8576 | Awakening Grace Therapy Llc 2123 Shed Rd Ste 14 Bossier City LA 71111-3617 Ph: (318) 540-8576 |
| NPI Number | 1669278735 |
|---|---|
| Provider Enumeration Date | 02/20/2025 |
| Last Update Date | 09/17/2025 |
| Certification Date | 09/17/2025 |
| Medicare PECOS PAC ID | 3971025123 |
|---|---|
| Medicare Enrollment ID | O20250318001520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669278735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Stephanie Jo Rei |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871744722 PECOS PAC ID: 4880116037 Enrollment ID: I20250318001585 |
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