| Grace & Wellness Therapeutic Services | |
|
626 Cedar Ln Ponchatoula LA 70454-3908 | |
| (985) 235-0709 | |
| Not Available |
| Full Name | Grace & Wellness Therapeutic Services |
|---|---|
| Speciality | Counselor |
| Location | 626 Cedar Ln, Ponchatoula, Louisiana |
| Authorized Official Name and Position | Gracishone Floyd (OWNER) |
| Authorized Official Contact | 5043339635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace & Wellness Therapeutic Services 626 Cedar Ln Ponchatoula LA 70454-3908 Ph: (985) 235-0709 | Grace & Wellness Therapeutic Services 626 Cedar Ln Ponchatoula LA 70454-3908 Ph: (985) 235-0709 |
| NPI Number | 1780564294 |
|---|---|
| Provider Enumeration Date | 09/04/2025 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780564294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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