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RUGGED GRACE LLC NPI 1528770831


NPI Information

NPI: 1528770831
Provider Name: RUGGED GRACE, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
704 N STATE ST STE A
GREENFIELD, IN
ZIP 46140
Phone: (317) 406-8191
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RUGGED GRACE, LLC is a mental health counselor in Greenfield, IN. RUGGED GRACE, LLC NPI is 1528770831. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

704 N STATE ST STE A
GREENFIELD, IN
ZIP 46140-616
Phone: (317) 406-8191

The provider's authorized official is Jennifer Renee Menser .
The authorized official title is Managing Member and has the following contact phone number (317) 698-3599.

The enumeration date for this NPI number is 12/19/2022 and was last updated on 12/19/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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