| Guiding Grace | |
|
51 E Shelby Street Junction City KY 40440 | |
| (859) 325-5545 | |
| Not Available |
| Full Name | Guiding Grace |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 51 E Shelby Street, Junction City, Kentucky |
| Authorized Official Name and Position | Mary E Koppel (PRESIDENT & CEO) |
| Authorized Official Contact | 8593255545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Grace 131 Allyson Cir Junction City KY 40440-9041 Ph: (859) 325-5545 | Guiding Grace 51 E Shelby Street Junction City KY 40440 Ph: (859) 325-5545 |
| NPI Number | 1235625104 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235625104 | NPI | - | NPPES |
| 7100541220 | Medicaid | KY | |
| 810644 | Other | KY | AODE LICENSURE |
| 800289 | Other | KY | BHSO LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |