| Grace Counseling Services | |
|
2387 S Linden Rd Ste 104 Flint MI 48532-5487 | |
| (810) 875-0630 | |
| Not Available |
| Full Name | Grace Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2387 S Linden Rd Ste 104, Flint, Michigan |
| Authorized Official Name and Position | Thomasine Wortham (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8108750630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Counseling Services 2387 S Linden Rd Ste 104 Flint MI 48532-5487 Ph: () - | Grace Counseling Services 2387 S Linden Rd Ste 104 Flint MI 48532-5487 Ph: (810) 875-0630 |
| NPI Number | 1861031098 |
|---|---|
| Provider Enumeration Date | 01/06/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Medicare PECOS PAC ID | 6305277138 |
|---|---|
| Medicare Enrollment ID | O20200512001843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861031098 | NPI | - | NPPES |
| Provider Name | Thomasine T Wortham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265616510 PECOS PAC ID: 9234198722 Enrollment ID: I20041008001252 |
| Provider Name | Tia Coles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104347517 PECOS PAC ID: 4880014448 Enrollment ID: I20201020002184 |
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