| Extending Grace Counseling Llc | |
|
17 Ridge Rd Lititz PA 17543-8567 | |
| (717) 435-0152 | |
| Not Available |
| Full Name | Extending Grace Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 17 Ridge Rd, Lititz, Pennsylvania |
| Authorized Official Name and Position | Roseauna G Good (OWNER) |
| Authorized Official Contact | 7174350152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extending Grace Counseling Llc 17 Ridge Rd Lititz PA 17543-8567 Ph: (717) 435-0152 | Extending Grace Counseling Llc 17 Ridge Rd Lititz PA 17543-8567 Ph: (717) 435-0152 |
| NPI Number | 1265302368 |
|---|---|
| Provider Enumeration Date | 11/05/2025 |
| Last Update Date | 11/05/2025 |
| Certification Date | 11/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265302368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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