| Healing Grace Counseling Center | |
|
1272 Ne Windsor Dr Lees Summit MO 64086-5594 | |
| (623) 238-2296 | |
| Not Available |
| Full Name | Healing Grace Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 1272 Ne Windsor Dr, Lees Summit, Missouri |
| Authorized Official Name and Position | Amy Dublinske (PRESIDENT) |
| Authorized Official Contact | 8162464465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Grace Counseling Center 1272 Ne Windsor Dr Lees Summit MO 64086-5594 Ph: (623) 238-2296 | Healing Grace Counseling Center 1272 Ne Windsor Dr Lees Summit MO 64086-5594 Ph: (623) 238-2296 |
| NPI Number | 1346417706 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Medicare PECOS PAC ID | 7719045798 |
|---|---|
| Medicare Enrollment ID | O20081020000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346417706 | NPI | - | NPPES |
| Provider Name | Robin Ukleya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992048227 PECOS PAC ID: 6103048228 Enrollment ID: I20141105000861 |
| Provider Name | Christine Carr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366522260 PECOS PAC ID: 1951699107 Enrollment ID: I20161004001688 |
| Provider Name | Nadin R. Rizk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619300191 PECOS PAC ID: 6507123718 Enrollment ID: I20171127000699 |
| Provider Name | Nikki S Fryer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407140296 PECOS PAC ID: 8426317256 Enrollment ID: I20180123003529 |
| Provider Name | Dawn Clendenen-moon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487289062 PECOS PAC ID: 8820427297 Enrollment ID: I20200406002288 |
| Provider Name | Marni Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205421054 PECOS PAC ID: 8022424274 Enrollment ID: I20210312000922 |
| Provider Name | Jennifer L Riddell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164018016 PECOS PAC ID: 0840608998 Enrollment ID: I20210409001339 |
| Provider Name | Kathryn Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760067730 PECOS PAC ID: 4486062916 Enrollment ID: I20210421001209 |
| Provider Name | Carissa Marie Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174117295 PECOS PAC ID: 1254749609 Enrollment ID: I20210423000315 |
| Provider Name | Julie Marie Eubanks-battle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700034303 PECOS PAC ID: 3173914207 Enrollment ID: I20211229000764 |
| Provider Name | Jesse Mccall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528724085 PECOS PAC ID: 5193119857 Enrollment ID: I20220223002864 |
| Provider Name | Mary Katherine Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639815251 PECOS PAC ID: 2163804683 Enrollment ID: I20220801000915 |
| Provider Name | Micaela Leigh Mckenna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477257350 PECOS PAC ID: 2264895564 Enrollment ID: I20230905002410 |
| Provider Name | Rachel Nicole Eckles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881388973 PECOS PAC ID: 1052775863 Enrollment ID: I20230913000426 |
| Provider Name | Amy Marie Dublinske |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336650555 PECOS PAC ID: 5991110397 Enrollment ID: I20231121003494 |
| Provider Name | Linda L. Brady |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447684295 PECOS PAC ID: 4981052495 Enrollment ID: I20231122000363 |
| Provider Name | Marsha Schenelle Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134716996 PECOS PAC ID: 9234587742 Enrollment ID: I20231122000421 |
| Provider Name | Julia G Holland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730681172 PECOS PAC ID: 9133577646 Enrollment ID: I20231122000447 |
| Provider Name | Mary Starr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386017663 PECOS PAC ID: 0648628164 Enrollment ID: I20231122000617 |
| Provider Name | Rosanne May Liechti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740905702 PECOS PAC ID: 7719335231 Enrollment ID: I20231122000672 |
| Provider Name | Rachelle Lee Weakley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619533353 PECOS PAC ID: 9133577661 Enrollment ID: I20231122000891 |
| Provider Name | Sean Joseph Dowling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427609494 PECOS PAC ID: 0345698759 Enrollment ID: I20231127000128 |
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